Healthcare Eligibility and Coverage, 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, InsuranceIndustries

Requirements

Candidates must possess a Bachelor's degree in Computer Sciences, Healthcare Administration, Information Systems, or Business, with a minimum of 3 years of experience in healthcare EDI operations, focusing on eligibility and insurance discovery. A strong background in HIPAA data, associated transaction sets, payer requirements, clearinghouses, payer EDI, healthcare management systems (like Epic or Cerner), EDI formats and standards (X12, HL7), and healthcare billing and coding practices is required.

Responsibilities

The EDI and Healthcare Insurance Coverage Analyst will manage electronic data interchange (EDI) processes, including monitoring, troubleshooting, and maintaining EDI transactions, as well as ensuring accurate healthcare insurance coverage verification and maintenance. This role involves streamlining data exchange between internal systems and external partners, collaborating with IT and vendors on EDI issues, developing EDI process documentation, and analyzing EDI data for discrepancies. Additionally, the analyst will assist in designing and managing insurance coverage verification technology, maintaining accurate insurance information, resolving coverage issues with payers, and supporting audits and compliance initiatives related to insurance coverage.

Skills

EDI

837

835

270/271

276/277

Healthcare Insurance

Data Exchange

Troubleshooting

Process Improvement

Documentation

Data Analysis

Compliance

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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