Knowledge Summary
·Ability to work with multiple business systems and have a general understanding of system design.
·Knowledgeable of Microsoft office products and project management tools.
·Effective oral and written communications skills necessary.
·Must have a general understanding the business environment and associated systems.
·Must be detail oriented and have a general understanding of corporate business systems.
·Must be able to work independently with assigned task.
·Ability to investigate, perform preliminary testing and present findings.
·Technical writing skills needed.
·Must have related enrollment experience in the Health Rules system platform, a full understanding of the Front Office System and how these platforms interact with EDI Portal for EDI enrollment validation.
Education & Experience
·Bachelor's degree in Business Administration, Management Information Systems, Computer Science or equivalent work experience in the Healthcare/Technology space
·Understanding of XML/ANSI 834 / HIPAA X12 transactions would be beneficial.
·In lieu of degree, minimum 2- 3 years proven EDI/eligibility experience
·Strong communication and analytical skills required.
Scope:
·Has working knowledge and experience in own discipline.
·Continues to build knowledge of the organization, processes and customers.
·Performs a range of mainly straightforward assignments.
·Uses prescribed guidelines or policies to analyze and resolve problems.
·Receives a moderate level of guidance and direction from more senior level roles.
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