EDI Analyst II

Role and Responsibilities

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.

What We Have To Offer

Our benefits package is designed to keep our employees happy and healthy - physically, mentally and financially.

• Medical, Dental and Vision Insurance

• Disability and Life Insurance

• Employee Assistance Program

• Remote Work Options

• Generous Paid-Time Off

• Annual Reviews and Development Plans

• Retirement Plan with Company Match Immediately 100% Vested

Required Skills and Competencies

• Superior organization skills

• Passionate problem solver

• Fast-paced temperament

• Attention to detail is unprecedented

• Ability to analyze data and provide a detailed well written or oral response in a timely manner

• Prioritize work responsibilities and be able to maintain a proper balance between work and life duties while working remote

• Fast learner that’s constantly looking to improve their knowledge, skills, and their overall job responsibilities

Supervisory Responsibility

There could be supervisory responsibilities in this role with Junior Analysts or Specialist reporting to this role.

Position Type and Expected Hours of Work

• Full-time/Salaried/Exempt.

• Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:00AM to 5:00PM CT. We cover clients from West to East Coast, work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends and holidays pursuant with industry demands.

Travel

This position has minimal travel expectations.

Preferred Education and Experience

• Bachelor's Degree

• Familiarity with multiple file types including 834, csv, pipe-delimited, fixed-width, xlsx, etc.

• Ability to read an 834 is a bonus

• Familiarity with file transfer protocols, specifically sFTP

• Experience with Microsoft Office, particularly Excel

• Understanding of SSH and PGP keys

• Experience with ticketing systems such as Zendesk

• Familiarity with HIPAA compliance

• Any familiarity with adjudication systems is a plus

• Organization, multitasking, and project management skills

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/V/D