Ampstek · 10 hours ago
Business Analyst – Claims & Encounters (Healthcare EDI) (Only USC or GC)
Ampstek is seeking a Business Analyst specializing in Healthcare EDI. The role requires extensive experience in claims management and a strong proficiency in SQL, focusing on EDI transactions and the Edifecs platform.
IT Management
Responsibilities
BA experience in Encounters, claims management and very strong in SQL is a must
Healthcare EDI Transactions 834, 835, 837 detailed understanding of file loops, segments, key attributes
Understanding of EDIFECS Product platform tools like Spec Builder, defining TP, Application manager, Transaction manager etc
Source to Target STTM translated file against transformation rules, etc
Knowledge on Edifecs encounter management
Hands on experience on defining custom rules and validation
Qualification
Required
Minimum years of experience >10 years
BA experience in Encounters, claims management and very strong in SQL is a must
Understanding of EDIFECS Product platform tools like Spec Builder, defining TP, Application manager, Transaction manager etc
Healthcare EDI Transactions 834, 835, 837 (detailed understanding of file loops, segments, key attributes)
Knowledge on Edifecs encounter management
Hands on experience on defining custom rules and validation