The EDI Specialist maintains production of EDI processes using EDI tools and ensuring transactions are accurate when changes or maintenance are required. Processes inbound / outbound EDI files for enrollment, claims and encounter data.
Bachelor's Degree in Business, Information Technology, Computer Information Systems, Systems Engineering, related fields or four years of related work experience may substitute for the bachelor's degree.
Experience in Health Care, or with an HMO or MCO organization, preferred
Above Average Verbal (Heavy Public Contact)
Writing /Composing(Correspondence/ Reports)
Medical Terms Statistical
MS Word /MS Excel
Ability to learn HIPAA regulations and requirements
Ability to learn HIPAA EDI transactions (820, 270, 271, 834, 837, 270, 271 etc...) and other file formats
ETL and database tools such as SSMS, SSRS, and SSIS.
Experience in Microsoft Outlook programs
Skill in critical thinking, problem analysis, and process documentation.
Excellent documentation, verbal and written communication and interpersonal skills
Excellent analytical and problem-solving abilities
Knowledge of Healthcare Business Systems desired
Ability to analyze detailed information and to follow written instructions
Internal Number: 145406
About Harris Health System
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.