Business Systems Analyst with Payer EDI
XpertTech Inc - Worcester, MA

This job posting is no longer available on XpertTech Inc. Find similar jobs: XpertTech jobs

Senior Business Analyst

Experience:
  • EDI TR3 technical knowledge
  • Expertise in 270 business cases and how they are supported by the transaction
  • Direct experience in 270 implementations e.g. 270
  • Will support the mapping effort and business rules development of the 270
    transaction service types, operating rules and out of pocket maximum
    requirements
  • Will effect knowledge transfer to members of the FCHP business and IT EDI teams

Responsibilities:
  • Gather requirements for 270 Requests and 271 Response.
  • General inquires / Response
  • Categorical inquiries / Response
  • Specific Inquiry /Response
  • Define 270 request Validation rules and AAAnerror codes
  • Patient/Member identifiers and Validation rules
  • Define 271 response Data requirements
  • Define Service type codes
  • Define Patient Financial responsibility rules
  • Define Operation reporting requirements
  • Define management reporting requirements
  • Define a companion guide for 270/271 for Fallon
  • Define Data mapping on where to identify the required request and response fields within the system

Required Qualifications:
Business Analyst
Minimum Years Required 3

To apply, please contact Ravikanth at ravikanth@xperttech.com or call on 781-780-2939 x 3040.

XpertTech Inc - 19 months ago - save job
About this company
2 reviews