78 applicants

Company

Availity · 2 days ago

EDI Implementation Analyst II

United States

Full-time

Remote

Mid Level

4+ years exp

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Responsibilities

Sets up and installs technical systems, applications or process designs for client’s purchased or outsourced technology and business process solutions.

Works directly with client to manage initial access, map and transfer data, create process documentation and train or coordinate training for client users.

Tests and troubleshoots functionality of installed systems; identifies and documents technical issues to be escalated to product and system integration teams for resolution.

Provides feedback based on client experiences to product and professional services teams for product and process improvements.

May work directly with clients on-site or provide installation support remotely.

Accountable for all complexity level implementations, including but not limited to submitters, partners, and vendors; to exchange all transaction types through methods such as EDI, B2B, web transactions, API, and others as defined implementations.

Acts under the guidance of the Level III EDI Implementation Analysts.

Will be responsible for Analyst level tasks of all implementations. Including, but not limited to, developing the implementation plan for all new implementation requests (direct receiver/payer, and partner and vendor), initiating implementation plan with customer, creating all tickets required to execute implementation plan completely.

Manages multiple moderate to complex implementations, including timelines, issue resolution and results delivery using Availity standard tools and processes.

Assesses and analyzes moderately complex standard and non-standard implementations, including HIPAA rules and Availity standards and options and follows processes accordingly.

In partnership with external and internal stakeholders, the EDI Implementation Analyst II conducts pre-production functional testing protocols, including creating and executing test plans for the implementation.

Tracks progress of specific implementation projects via Availity tools including JIRA, Confluence and Salesforce.

Mentors EDI Implementation Analysts to ensure projects are completed on a timely basis and ensures Availity standards are followed.

Interacts with Payer/Trading Partner, Vendor and Provider Marketing, Business Development, Business Technology Solutions, Product Management, Finance, and Operations.

Communication and coordination between all Availity platforms- (HEW, Patient Access, RCM).

The EDI Implementation Analyst II will be engaged in providing estimates of work for implementations for submitters, partners and vendors when required.

The EDI Implementation Analyst II is responsible for managing the workflow of moderate to complex implementations and any other responsibilities of the EDI Implementation Analyst II and ensuring all commitments are maintained.

Interacts with business, technical, internal and external resources on new and existing implementation solutions and partners.

The EDI Implementation Analyst II will be required to represent the company in a professional manner to external customers with supervision as needed.

Assists the Channels Sales, Account Management, and Payer Solutions staff in finalizing opportunities by providing technical guidance to external stakeholders.

Ensures market validation (utilization) of solution by driving clean hand off to account management or operational support teams.

Communicates new implementations and all related changes including detailed specifications.

Monitors customer communications (submitter, payer, trading partners, etc) to be apprised of any changes that may impact business operations (new edits, connectivity updates, system downtime).

Interacts closely with other technology teams and development staff to ensure requirements able to be met accurately and executed within the expected timeline for the implementations.

Leads in the development of Availity support documentation (such as production issues, impact and solution as it relates to the responsibilities of the EDI Implementation Analyst II).

Documents moderately complex standard processes (such as standard testing procedures) as necessary for continuous process improvement.

Responsible for documenting all information related to assigned implementations. Including but not limited to submitter and partner and vendor implementations, such as requirements, test plans, contact information, escalation procedures, etc.

Supports process improvement of workflow, endeavors to stay current with technology trends, industry standards, and Availity strategy – specifically driving close to cash process for faster and higher quality connectivity solutions.

This role is required to provide support to EDI Implementation Analyst II for operational issues where assistance is needed.

Supports organization thru researching, resolving and documenting operational issues. Must be able to communicate simple to medium business, technical, and HIPAA issues and resolutions.

Supports and maintains implementations by execution of customer maintenance requests including but not limited to change requests, connectivity changes, and edit and enrichment enhancements.

Responsibilities of support for a EDI Implementation Analyst II include but are not limited to the migration of clearinghouse partner configurations, migration of clearinghouse partner specification documentation, configuration of alternate routes for submitters.

EDI Implementation Analyst IIs will also be responsible for updating and maintaining payer routing and the payer list to ensure data is accurate. Including validation of payer routes to guarantee satisfaction.

Qualification

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EDI implementationHIPAA complianceX12 transactionsHealthcare industry knowledgeCustomer relationship managementTest plan creationSoftware implementation experienceVendor managementRelationship managementDocumentation skills

Required

Bachelor’s degree or the equivalent work experience

4+ years of related experience in a technology (information exchange) and/or healthcare environment

4+ years of experience with managing simple to moderately complex implementations and delivering results with speed, accountability, and trust

Knowledge of the health care industry specifically claims processing systems, provider office operations, and customer service processes in a health care company

Understanding of HIPAA implementation guides for claim and other transactions

Knowledge of the health care industry HIPAA mandated ANSI transaction formats.

Must have a working knowledge of X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278, CCR/CCD

Ability to create and execute test plans

Ability to create documentation such as training resources and reference materials

Ability to establish and maintain effective working relationships, supporting internal and external partners

Excellent written and verbal communication skills including strong presentation skills and the ability to present executive summaries in a concise manner

Ability to effectively manage multiple priorities in a fast-paced environment

Flexibility and ability to embrace change

Ability to prepare documented customer requirements