Job Description

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The EDI Analyst position generates EDI 837P/I/D encounter files (containing adjudicated claims data) in the format specified by our Health Plan partners, DHCS, or designated third parties. The EDI Analyst is also responsible for the delivery of files and management of the response files received to ensure that encounter files are processed in compliance with Health Plan guidelines and state and federal standards. The EDI Analyst may be asked to participate in Health Plan meetings as an Encounter SME. Bachelor’s degree or equivalent experience required. Minimum of 4 years of managed health care experience is required; preferably working for a Health Plan or Managed Services Organization. Minimum of 2 years working with ASC X12 837 files, specifically 837P, 837I, 837D, 277CA, 999, TA1. Minimum of 2 years generating and submitting healthcare EDI files and a working knowledge of SQL databases and queries. Prior knowledge of ICD-10, CPT, HCPCS, NDC coding, and experience working with an EDI Clearinghouse(s). Familiarity with healthcare lines of business - Medicare, Medicaid, and Commercial - is a plus. Compensation $82,218.24 - $102,772.80 annually Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The EDI Analyst position generates EDI 837P/I/D encounter files (containing adjudicated claims data) in the format specified by our Health Plan partners, DHCS, or designated third parties. The EDI Analyst is also responsible for the delivery of files and management of the response files received to ensure that encounter files are processed in compliance with Health Plan guidelines and state and federal standards. The EDI Analyst may be asked to participate in Health Plan meetings as an Encounter SME. Minimum Requirements Bachelor’s degree or equivalent experience required. Minimum of 4 years of managed health care experience is required; preferably working for a Health Plan or Managed Services Organization. Minimum of 2 years working with ASC X12 837 files, specifically 837P, 837I, 837D, 277CA, 999, TA1. Minimum of 2 years generating and submitting healthcare EDI files and a working knowledge of SQL databases and queries. Prior knowledge of ICD-10, CPT, HCPCS, NDC coding, and experience working with an EDI Clearinghouse(s). Familiarity with healthcare lines of business - Medicare, Medicaid, and Commercial - is a plus. Compensation $82,218.24 - $102,772.80 annually Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives. Benefits & Career Development Medical, Dental and Vision insurance 403(b) Retirement savings plans with employer matching contributions Flexible Spending Accounts Commuter Flexible Spending Career Advancement & Development opportunities Paid Time Off & Holidays Paid CME Days Malpractice insurance and tail coverage Tuition Reimbursement Program Corporate Employee Discounts Employee Referral Bonus Program Pet Care Insurance Job Advertisement & Application Compliance Statement AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. About Us Quality Care Without Exception As the nation’s largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients. AltaMed Health Services Corporation is an Equal Opportunity Employer AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation. We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community. We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact. #J-18808-Ljbffr AltaMed Health Services Corporation

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