EDI Analyst
 Ampcus, Inc | |
 United States, California, Los Angeles | |
 Nov 18, 2024 | |
|
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: EDI Analyst Location(s): Los Angeles, CA (Remote) Job Description: EDI Analyst is instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions which include working with external trading partners, transferring data through secure channels, loading the data to the production environment, and testing files from new providers/trading partners. This is a need for the New Century Health Plan Experience Needed: * Bachelor's Degree in Business Administration, Information Systems, Health Care or other related field, or a combination of equivalent education, training and experience required * Minimum of five (5) years' experience with CMS processes in a Medicare or Managed Care environment managing claims or encounters * Extensive experience with Claims Encounter strategy and processes * Demonstrate strong understanding of how claims payment methodologies, adjudication processing and Federal encounter regulations interrelate to maintain compliant encounter reconciliation processes * Advanced knowledge of SQL, SSIS package, window based computer environment including MS Office and related programs * Knowledge of encounter regulatory reporting and compliance requirements. Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, age, protected veterans or individuals with disabilities. | |