Eligibility File Analyst

A company is looking for an Eligibility File Analyst responsible for supporting clients and internal teams with electronic enrollment file implementations.

Key Responsibilities

Project manage the implementation of electronic enrollment options, including EDI 834

Consult with clients during the implementation process to identify system requirements

Audit files, reconcile errors, and recommend improvements to enhance the electronic enrollment process

Required Qualifications

Bachelor's degree in business administration, healthcare administration, information systems, or computer science preferred

3+ years of experience in benefits eligibility, enrollment, or implementation roles involving EDI 834

In-depth knowledge of HIPAA EDI 834 file layout and other data exchange files

Experience in creating process documentation and contributing to improvements in healthcare roles

Familiarity with Notepad++ or similar platforms preferred