The EDI (electronic data interchange) Analyst II is responsible for coordinating and implementing files between the Liviniti system and outside vendors, clients, and brokers. EDI Analysts are responsible for analyzing various specifications to work in conjunction with reports, interfaces, and mappings provided by data-trading partners. They coordinate and work with internal teams to complete EDI testing, implementations, and modifications of EDI files.
An EDI Analyst’s primary responsibilities include analyzing file and system data to address and resolve any issues or errors, implementing and configuring file feeds for our existing or newly added vendors, and being the main EDI point of contact for your assigned clients. Key responsibilities include working closely with our vendors and internal teams at all levels of the organization to establish, support, and maintain all data exchanges.
- Responsible for the integration of any new vendor relationship using Electronic Data Interchange and file layouts for eligibility, accumulator, claim detail, and other files by obtaining EDI file specifications, file encryptions and transmission information from vendor.
- Build and maintain relationships with Liviniti’ partners and other vendors; serve as liaison to bridge gaps between system partners and internal outward-facing staff.
- Document and provide scope of work to all parties involved in all stages of integration; noting customizations, routing rules, data mapping, etc. to ensure seamless integration process on client side
- Has solid technical understanding of different file types (fixed width, delimited, 834)
- Computer proficiency and technical aptitude with the ability to utilize various connectivity solutions (FTP/Secure FTP, Webfolders (WebDAV), VPN), and use of MS Office applications.
- Research, analyze, and understand data elements in Liviniti systems, as well as inbound and outbound vendor systems
- Develop mapping and translations between data elements for file feeds
- Coordinate and test EDI feeds with external vendors and internal file developers
- Maintain extensive knowledge of claims adjudication system requirements.
- Assist with any and all production EDI issues.
- Maintain awareness of and ensure adherence to Liviniti standards regarding privacy.
- Work on assignments that are complex in nature in which judgment and initiative are required in resolving problems and making recommendations
- Thorough knowledge of company and departmental policies and procedures.
- Abide by all obligations under HIPAA related to Protected Health Information (PHI).
- Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.
- Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.