Healthcare EDI Analyst (Remote)

New Orleans, Louisiana, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Data and Technology, Financial Services, Insurance, Agrifinance, AutomotiveIndustries

Requirements

Candidates must possess a Bachelor's degree in Computer Sciences, Healthcare Administration, Information Systems, Business, or a related field. A minimum of 3 years of experience in healthcare EDI operations, specifically with eligibility and insurance discovery, is required. Applicants must also have 3+ years of experience with HIPAA data, associated transaction sets, and payer requirements, along with 3+ years of experience with EDI formats and standards like X12 and HL7. Additionally, 2+ years of experience with clearinghouses, payer EDI, and healthcare management systems (e.g., Epic, Cerner, or similar), and 2+ years of familiarity with healthcare billing and coding practices are necessary.

Responsibilities

The Healthcare EDI Analyst will manage electronic data interchange (EDI) processes, ensuring accurate healthcare insurance coverage verification and maintenance. Responsibilities include monitoring, troubleshooting, and maintaining EDI transactions, collaborating with IT and external vendors to resolve transmission issues, and ensuring timely data exchange. The role involves analyzing EDI data for discrepancies, developing and maintaining process documentation, and assisting in the design and management of insurance coverage verification technology. The analyst will also maintain accurate insurance information, work with payers to resolve coverage issues, support audits and compliance initiatives, and partner with Revenue Cycle, IT, and Compliance teams to ensure data integrity and operational alignment, while also providing training on EDI and insurance coverage processes.

Skills

EDI

837

835

270/271

276/277

Healthcare Insurance

Data Exchange

Troubleshooting

Documentation

Data Analysis

Insurance Verification

Automated Tools

Expedia

Travel booking platform for flights, hotels, rentals

About Expedia

Expedia Group operates in the travel industry, offering a wide range of services for travelers and travel-related businesses. It connects users with options for flights, hotels, car rentals, vacation packages, and activities through its various brands, including Expedia, Hotels.com, and Vrbo. Travelers can easily find and book trips that match their preferences and budgets. The company earns revenue primarily through commissions on bookings and advertising from travel service providers looking to promote their offerings. Additionally, Expedia Group supports its partners by providing access to valuable data and technology, helping them improve their operations and grow their businesses. The goal of Expedia Group is to create a seamless travel experience for users while maximizing the potential of its partners.

Bellevue, WashingtonHeadquarters

1996Year Founded

$3,277.3MTotal Funding

IPOCompany Stage

Consumer Goods, EntertainmentIndustries

10,001+Employees

Benefits

Competitive Paid Time Off

Travel Discounts

Healthcare Flexible Spending Accounts

Employee Assistance Program

Wellness & Travel Reimbursement

Workplace Accomodations

Medical, Dental, & Vision Insurance

Matching Gifts

New Parental Benefits

Risks

Riyadh Air's entry could increase competition, affecting Expedia's market share.

CFO transition may lead to strategic shifts impacting financial management and investor confidence.

Expedia's partnerships may strain resources, affecting service quality if not managed well.

Differentiation

Expedia offers a comprehensive suite of travel services under one platform.

The company leverages a diverse portfolio of brands like Hotels.com and Vrbo.

Expedia provides partners with valuable data and technology to optimize their offerings.

Upsides

Expedia can capitalize on the rise of 'workcations' with longer stay packages.

The trend of 'bleisure' travel offers opportunities for specialized leisure-business packages.

Increased demand for personalized travel experiences can enhance user engagement for Expedia.

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