EDI Business Analyst in Cumming, GA at APEX Systems

Date Posted: 9/6/2018

Job Snapshot

Job Description

Job #:  883717

EDI Business Analyst job responsibility will include:


  • Self-starter that has the ability to multi-task in a fast-paced environment, while managing short and long term projects that are centered around payer(s) weekly/monthly claim submission cycle deadlines.
  • In depth knowledge with the 837 Professional ANSI x12 format is required.
  • Experience with the following ANSI formats is preferred: 999, 277, 276, 835, 834, 270, 271.
  • Responsible for sending/receiving x12 file formats using either of the following protocols: FTP, SFTP, HTML, HTTP.
  • Ability to research and track previous claims submissions to provide accurate and timely reporting, to assist Client’s in meeting their State Reporting Requirements.
  • Effective communication skills are required to work with development and across other internal, and external teams, to ensure that MCO Claims Submission deadlines are never missed.
  • Business Analyst will rely on strong organization skills to manage multiple payer Implementations through Go-Live, while maintaining weekly calls with existing (MCO) Manage Care Organizations, tracking Provider Enrollment progress as well as 837P Claims Submissions.
  • Payer Testing is required per MCO through Implementation, and occasionally when the State implements new guidelines specific to (NEMT), Non-Emergency Medical Transport.
  • Business Analyst will look to create documentation for both existing and new MCOs.


Preferred Experience or Skills


  • 2-5 years in an Implementation and/or Client Support and/or business analyst role.
  • 1 or more years as a business analyst or other related role
  • 1-3 years EDI X12
  • Excellent speaking and presentation skills, Excellent writing and communication skills.
  • Development of procedures for the transmission of data, verify file delivery over EDI systems, etc.
  • Bachelor's Degree (four-year college or technical school) or Work Equivalent, Field of Study: Systems administration, IT management, and network fundamentals or similar field.
  • 3 years' experience in EDI or Healthcare IT









EEO Employer

Apex is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-463-6178