EDI Testing Analyst - Claims Payment

  As part of Management Recruiters International, The Colonial Group specializes in the placement of outstanding talent in the insurance/ managed care industry. Our clients understand that our decades of industry experience give us unique insight and access to top talent at all levels. The Colonial Group is a nationally recognized, award-winning firm dedicated to helping both clients and candidates join together to form a mutually beneficial relationship.

 

Our client is a leader in the industry that has a track record of profitability, consistent growth, and promoting from within. Their mission to deliver quality products is driven by an entrepreneurial spirit and a commitment to treat people as their most valuable asset. We have been engaged to identify and recruit top talent who will make meaningful contributions to their organization. If you are prepared to work in an exciting and rewarding environment, we look forward to considering your experience and qualifications.

 

EDI Testing Analyst - Claims Payment

 

The EDI Testing Analyst will conduct quality assurance verification activities for claims applications.  The incumbent will have primary responsibilities for EDI testing and creation of EDI test files and test cases.The Analyst will also work closely with users on claims repricing application functionality and pricing rules.

 

* Minimum of a HS diploma combined with 5 years of hands on experience with insurance claims payment or healthcare/ managed care claims payment ORa Bachelor's degree in information technology with 2 years of hands on experience in claims payment.

* Must be proficient with EDI claims data mapping, Unix Scripting, and Oracle SQL queries.

 Resumes forwarded as a Microsoft WORD document attachment are appreciated.  Please reference job code 2277 with your response.