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Claims Analyst

Global Information Technology

EDI Claims AnalystThe EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing.Requirement:Strong understanding of EDI transactions and claims processingProficiency in SQL and data analysisKnowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and ApigeeFamiliarity with CBH systems, including Connects and FlexicareExcellent problem-solving and analytical skillsAbility to mentor and train team membersExecutive leadership client facing

Vacancy posted 3 days ago
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