edi analyst

  • Involved in creating Implementation guides.
  • Worked with different EDI message standards like 834, Flat files.
  • Moving the member’s eligibility accurately into the platform by mapping/remapping the EDI files. 
  •  Handled a small team of 4 members as a senior associate.
  • Accountable for the team’s production and quality targets and ensure to meet the SLAs and TAT.
  • Conducting regular brainstorming sessions with team to fill the process gaps.
  • Scheduling weekly onshore call with clients on process queries/clarifications.

edi analyst

  • Enrolling the members of a group into Insurance Carrier’s platform through Electronic data interchange. 
  • EDI Implementation of Groups into Payer’s system through Mainframes. 
  • Co-coordinating with Group’s Third party administration in EDI implementation process. 
  • Assisting Group/TPA in Benefit plan & Layout selection depends on the Group requirements. 
  • Supporting Group/TPA in coding HIPAA 834 and NON HIPAA 834 EDI files based on the Benefit plan structure. 
  • Monitor all EDI file processing and perform troubleshoot on processes to resolve all transaction file issues and perform tests on same and provide support to all client issues and maintain documents for all operational procedures according to data requirements. 
  • Prepare and maintain test data and perform various tests on all EDI mapping. Evaluate the test results and create reports and logs as per test results and share them with all Stakeholders. 

edi analyst

  • Understanding and analyzing the requirements of the Clients.
  • Performs creation of XML design and re-structuring XML schemas (XSD).
  • Provides consultation for EDI/Gentran related inquiries and support documentation.
  • Experience in editing existing maps and develops new custom maps.
  • 5 months of experience of EDI file testing and EDI map development/EDI map testing/EDI map analysis using Bswift tool.
  • Proficient in designing test cases based on FSD (Functional Specification Document).
  • Worked with tools like JIRA, Bswift and  Sharepoint.

edi analyst

  • Monitored and tested application performance to identify potential bottlenecks, develop solutions, and collaborate with developers on solution implementation.
  • Installed, configured, tested and maintained operating systems, application software and system management tools.
  • Worked closely with customers, internal staff and other stakeholders to determine planning, implementation and integration of system-oriented projects.
  • Wrote and maintained custom scripts to increase system efficiency and performance time.
  • Managed installation, upgrade and deployment projects and provided on-site direction for network engineers.