Healthcare EDI Manager

Job Summary

A company is looking for a Healthcare EDI & Client Engagement Manager.

Key Responsibilities

• Oversee HIPAA EDI transactions and manage client communications
• Act as a subject matter expert for EDI transactions and support technology and business operations
• Monitor and resolve EDI-related issues, ensuring data integrity and compliance

Required Qualifications

• Bachelor's degree in Healthcare Administration, Information Systems, Business, or a related field
• 5+ years of experience in healthcare EDI transactions, client management, or payer operations
• Experience in healthcare claims processing and eligibility verification
• Strong understanding of HIPAA 5010, ANSI X12, and various EDI transaction sets
• Proficiency in EDI tools, SQL, and data mapping