Ampstek · 1 week ago
Business Analyst – Claims & Encounters (Healthcare EDI) (Only USC or GC on W2) (Year of exp -10+)
Ampstek is a company specializing in healthcare solutions, and they are seeking a Business Analyst with extensive experience in claims and encounters management. The role requires strong SQL skills and a detailed understanding of Healthcare EDI transactions and the Edifecs product 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