Electronic Data Interchange Specialist
Avera Health - Sioux Falls, SD

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SUMMARY: The Electronic Data Interchange Applications (EDI) Specialist ensures the integrity of the health plans information exchange to support the finance, enrollment and claims processing function by mapping and maintain adequate pathways for real time data exchanges. The Specialist consults with users to identify current operating procedures and to clarify program objectives, creates documentation to describe program development, logic, coding, work instructions and corrections. The Specialist interprets the manuals prepared for users to describe operating procedures; uses experience and judgment to plan and accomplish goals; performs a variety of complicated tasks and works with Avera Health Plans staff members to assure that company objectives are met.


· A Bachelor’s degree in Business Administration, Computer Science, MIS, or related field is preferred.

· Three to five years of complex system designs and medical coding experience is preferred.

· Experience with ANSI X12 Standard Healthcare transactions in version 5010 is preferred.

· Experience with AS400 and DB2 is preferred.