EDI Analyst @ Zotec Partners

INACTIVE

Full-Time

EDI Analyst

Posted on 3/22/2024

Zotec Partners

501-1,000 employees

Revenue cycle management for healthcare organizations

Data & Analytics

Junior, Mid, Senior

Remote in USA

Required Skills

SQL

Requirements

Knowledge of HIPAA/EDI X12 v5010 healthcare-related file formats including the 837, 835, 276, 277, 270, 271, 999, and TA1 is required
Knowledge of commonly used EDI concepts, best practices, and procedures within the health care industry
Experience working with .NET Technologies such as C#.NET 3.5, ASP.NET 3.5, LINQ and SQL
Microsoft Visual Studio experience
Experience using design patterns
Working knowledge of XML
Experience in healthcare business processes, claims and enrollment
Knowledge of industry standard health data code sets such as ICD-10, CPT/HCPCS, and Revenue Codes
Proficient with Microsoft Office software including Outlook, Word, Excel, and Access

Responsibilities

Monitor business processes to ensure service level agreements are met
Define business requirements and acceptance criteria/test cases that support EDI Interfaces related to healthcare business platform including but not limited to 837, 834, 820, 835, 999, 275, 277, 270 EDI transactions
Interact with new and current trading partners to capture and analyze requirements, mapping specifications and project objectives
Perform business analysis of identified process and software gaps or inefficiencies and develop plans to fill those gaps for internal business processes and for external clients
Mapping documents to and from various formats including but not limited to ANSI X12, XML, and flat file layouts
Investigate EDI transactions
Investigate image issues related to PDF, .tif, and .text files
Respond with appropriate urgency when process variations are discovered
Communicate with outside agencies, carriers or facilities as research requires to gather information to resolve issues
Work with banks and collection agencies to set up file formats to load into our system
Troubleshoot to ensure different file formats load into Zotec system
Act as an ambassador for Zotec’s Mission, initiatives and goals

At Zotec Partners, our People make it happen.

Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – those across the country who make up our diverse Zotec family and help make this company a best place to work.

Over 25 years ago, we started Zotec with a clear purpose, to make a difference by improving the way that healthcare works for everyone. Today we are more than 1000 employees strong, and we continue to use our incredible talent and energy to bring that purpose to life.

We’re seeking an EDI Analyst to join us.

As an EDI Analyst, you will be responsible for directly supporting the EDI needs of the medical billing/clearinghouse business. This position requires the coordination across internal and external partners, including clients. You will capture and document business and functional requirements, perform analysis and demonstrate effective communication.

What you’ll do:

Monitor business processes to ensure service level agreements are met
Define business requirements and acceptance criteria/test cases that support EDI Interfaces related to healthcare business platform including but not limited to 837, 834, 820, 835, 999, 275, 277, 270 EDI transactions
Interact with new and current trading partners to capture and analyze requirements, mapping specifications and project objectives
Perform business analysis of identified process and software gaps or inefficiencies and develop plans to fill those gaps for internal business processes and for external clients
Mapping documents to and from various formats including but not limited to ANSI X12, XML, and flat file layouts
Investigate EDI transactions
Investigate image issues related to PDF, .tif, and .text files
Respond with appropriate urgency when process variations are discovered
Communicate with outside agencies, carriers or facilities as research requires to gather information to resolve issues
Work with banks and collection agencies to set up file formats to load into our system
Troubleshoot to ensure different file formats load into Zotec system
Act as an ambassador for Zotec’s Mission, initiatives and goals

What you’ll bring to Zotec:

Knowledge of HIPAA/EDI X12 v5010 healthcare-related file formats including the 837, 835, 276, 277, 270, 271, 999, and TA1 is required
Knowledge of commonly used EDI concepts, best practices, and procedures within the health care industry
Experience working with .NET Technologies such as C#.NET 3.5, ASP.NET 3.5, LINQ and SQL
Microsoft Visual Studio experience
Experience using design patterns
Working knowledge of XML
Experience in healthcare business processes, claims and enrollment
Knowledge of industry standard health data code sets such as ICD-10, CPT/HCPCS, and Revenue Codes
Proficient with Microsoft Office software including Outlook, Word, Excel, and Access
Strong analytical, problem solving, organizational and priority management skills
Strong verbal and written communication skills, both technical and non-technical
Ability to work independently, be self-motivated and have the willingness and ability to lead small initiatives and projects
Must be able to multi-task, be flexible and embrace change

At Zotec, you will enjoy a network of highly experienced professionals in an environment where you can operate with autonomy yet have the resources and backing of other professionals in a similar role. Entrepreneurial and enterprising is the spirit of our team. If you are an original thinker and opportunity seeker, we’d like to talk to you!

Learn more about our organization, by visiting us at www.zotecpartners.com

E-Verify and Equal Opportunity Employer

Zotec Partners

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Website

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At Zotec Partners, employees immerse themselves in a culture that prioritizes enhancing patient experiences and optimizing healthcare revenue management through data-driven technology. As a leader in revenue cycle management for healthcare organizations, the company offers a dynamic work environment where innovation in patient engagement is not just encouraged but celebrated. This focus not only drives industry leadership but also fosters a collaborative and impactful workspace for employees dedicated to making a significant difference in healthcare.

Company Stage

N/A

Total Funding

$325M

Headquarters

Carmel, Indiana

Founded

1998

Growth & Insights

Headcount

6 month growth

↑ 0%

1 year growth

↓ -2%

2 year growth

↑ 1%

Benefits

Health - Employee health is important to us. That’s why we provide a wide array of affordable health benefits for our employees and their families. In fact, we haven’t raised our employees’ premiums in over a decade.

401(k) - We want to ensure financial comfort for people long after they retire from Zotec. That’s why we help them save for the future by offering a 401k plan with a generous employer match.

Wellness - We give our employees the opportunity to take part in wellness programs, financial health education, and a 24/7 Employee Assistance Program that provides free, confidential resources on family matters, financial planning, and legal situations.

Community - Giving back makes our communities better for everyone. Through the Zotec Effect program, our employees are granted Volunteer Time Off to partake in volunteer opportunities and will receive an employer match on their charitable giving. We also provide each employee with giving dollars to help them get started.

Work and Life - We recognize that people have a life outside of work and that time with loved ones is essential. With PTO, paid holidays, and some remote work opportunities, we make it easy to live a balanced life.

We believe in a growth mindset and we encourage that for each and every employee. Zotec provides financial education assistance as well as learning and development opportunities.

INACTIVE