48 applicants

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Company

LanceSoft, Inc. · 6 hours ago

Electronic Data Interchange Business Analyst | EDI Business Analyst

United States

Contract

Remote

Mid, Senior Level

$50/hr - $50/hr

5+ years exp

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Information Technology

Growth Opportunities

H1B Sponsor Likely

Hiring Manager

Shashwat Nandy

Insider Connection @LanceSoft, Inc.

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Responsibilities

Maintaining and running processes/jobs for electronic claims and other EDI transactions

Working with external trading partners

Transferring data through secure channels

Loading the data to the production environment

Testing files from new providers/trading partners

Qualification

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CMS processesClaims Encounter strategySQLClaims payment methodologiesAdjudication processingFederal encounter regulationsSSIS packageEncounter regulatory reportingCompliance requirementsHealth Care experienceMS Office

Required

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

Company

LanceSoft, Inc.

Glassdoor

4.1

Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization, and a pioneer in providing premium end-to-end Global Workforce Solutions and IT Services to diverse clients across various domains.

Founded in 2000

Herndon, Virginia, USA

1,001-5,000 employees

http://www.lancesoft.com/

H1B Sponsorship

LanceSoft, Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (20)

2022 (22)

2021 (46)

2020 (69)