EDI Specialist
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.
· 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.
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.