EDI Specialist

3 weeks ago


Manila, National Capital Region, Philippines Private Advertiser Full time

Roles and Reponsibilities:

  • Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity issues
  • Responsible for managing EDI file activity for high-profile/complex EDI client business
  • Direct contact between EDI senders, clients, Account Management teams, Customer Experience teams, BizTalk/.Net teams, and project teams
  • Responsible for supporting project work within the business area (lead and/or participate in project meetings, sprint work, business requirement documentation, system upgrades, and business check-outs)
  • Responsible for managing all robotic process automation (RPA) work for the business area
  • Responsible for providing support to the Department's Business Systems Analyst with client specific EDI enrollment testing
  • Meet departmental quality and production standards

Additional Job Responsibilities as Needed

  • Assist in the development of user system documentation and desk level procedures
  • Assist with manual enrollment processing for all lines of business
  • Support Member Enrollment System platform (to include development work, inquiries, and EDI file activity)
  • Other duties as assigned by the Leadership Team

Knowledge Summary

  • Requires extensive knowledge in EDI Portal and managing inbound EDI enrollment file activity
  • Ability to work with multiple business systems and have a general understanding of system design
  • Knowledgeable in MicrosoftOoffice products and project management tools
  • Effective oral and written communications skills necessary
  • Must have a general understanding the business environment and associated systems
  • Must be detail oriented and have a general understanding of corporate business systems
  • Must be able to work independently with assigned task
  • Ability to investigate, perform preliminary testing and present findings
  • Must have related enrollment experience in the Health Rules system platform, a full understanding of the Front Office System and how these platforms interact with EDI Portal for EDI enrollment validation

Education & Experience

  • Bachelor's degree in business administration, Management Information Systems, Computer Science, or equivalent work experience in the Healthcare/Technology space
  • In lieu of degree, minimum 2- 3 years proven EDI/eligibility experience
  • Strong communication and analytical skills required

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