Business Systems Analyst with Payer EDI
XpertTech Inc 2 reviews - Worcester, MA

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Senior Business Analyst

  • 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
  • Will effect knowledge transfer to members of the FCHP business and IT EDI teams

  • 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 or call on 781-780-2939 x 3040.

About this company
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