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Job Description
- Req#: 1963
Employer Industry: Information Technology Services and Consulting
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely, providing flexibility and work-life balance
- Engage in meaningful projects that enhance operational efficiencies for leading companies
- Collaborate with cross-functional teams in a dynamic and supportive environment
- Competitive hourly wage commensurate with experience
What to Expect (Job Responsibilities):
- Conduct end-to-end analysis of payer and provider workflows involving Availity transactions, including Eligibility & Benefits, Claims Status, Prior Authorization, and Claims
- Evaluate business requirements and integration patterns to ensure alignment with Availity capabilities
- Support implementation, enhancement, and optimization of Availity portal features and API integrations
- Lead requirement-gathering sessions and document functional requirements, user stories, and workflow diagrams
- Develop test plans, execute user acceptance testing, and validate transaction integrity for Availity workflows
What is Required (Qualifications):
- Bachelor's degree in Administration, Information Systems, Business, or a related field
- Minimum of 5 years of experience as a Business Analyst within a payer or provider environment
- Hands-on experience with Availity Portal, APIs, or clearinghouse integrations
- Strong understanding of HIPAA-standard EDI transactions and administrative operations
- Proficiency with productivity and analysis tools such as MS Word, MS Excel, JIRA, and Confluence
How to Stand Out (Preferred Qualifications):
- Direct experience in Availity transactions including Eligibility & Benefits, Claims Status, Prior Authorization, Attachments, and Claims
- Experience supporting business operations, compliance reviews, or audit-related activities
- Ability to analyze transaction data and troubleshoot integration issues
- Strong written and verbal communication skills, with an emphasis on clear documentation
- Familiarity with data protection expectations and payer/provider transaction guidelines
#InformationTechnology #BusinessAnalyst #RemoteWork #CareerGrowth #EDIStandards #AvailityTransactions
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