tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.
We are currently looking for a EDI Transaction Control Analyst to join our growing team!
The EDI Transaction Control Analyst is responsible for monitoring, analyzing, correcting and auditing electronic Health Care Services Review (EDI 278) authorization transactions. This role acts as an cross department liaison, tracking submission queues, identifying transaction processing errors, performing routine data corrections to ensure seamless patient authorization workflows, and identifying trends. This position focuses on identifying workflow anomalies, investigating and correcting data mismatches, and communicating actionable opportunities to the IT/Development team for resolution.
Office Location:
- Office located at 2415 East Camelback Road, Suite 700, Phoenix, AZ 85016
- (Remote)
Responsibilities and Duties:
Responsibilities include, but are not limited to the following:
- Transaction Monitoring: Actively monitor daily incoming and outgoing EDI authorization requests, tracking transmission logs and electronic work queues to ensure system efficiency.
- Error Analysis & Troubleshooting: Identify and investigate failed transactions, rejection codes, and data processing issues to pinpoint where a breakdown occurred.
- Operational Data Corrections: Perform manual data corrections and updates within the referral system to clear transaction bottlenecks.
- IT & Dev Collaboration: Act as the primary operational liaison to the IT/Development teams, clearly communicating identified system issues, testing fixes, and collaborating on long-term automated solutions.
- Process Documentation: Maintain clear procedures and job aids detailing how transaction errors are identified, corrected, and escalated. Implementation Support: Participate in go-live activities and post-implementation reviews to validate data accuracy and confirm that system enhancements resolve the intended issues.
- Reporting & Trends: Partner with Reporting/Data Analytics to review transaction dashboards, track error trends, and distribute routine performance updates to leadership.
- Compliance Maintenance: Ensure all reviewed authorization data and correction processes maintain strict confidentiality and remain fully HIPAA compliant.
Qualifications:
- Associates degree or higher.
- Advanced proficiency utilizing Microsoft Word, Excel, and PowerPoint.
- Proven capability of managing an issue from inception through to its successful conclusion.
- Strong analytical skills with a proven capability of following a complex issue through to its final conclusion.
- Familiarity with medical terminology and standard coding formats (CPT, HCPCS, ICD-10) is an asset.
- Excellent oral and written communication skills, with an ability to deliver feedback effectively.
Proven Personal Attributes:
- Must be able to work at a fast pace managing large amounts of responsibilities.
- Detail oriented and displays good organizational skills.
- Highly self-motivated and able to work with minimal supervision.
- Self-directed, flexible, and cooperative.
- Ability to multitask in a fast-paced work environment.
- Ability to remain calm under pressure and manage stressful situations.
- Ability to maintain a high level of confidentiality and remain HIPAA compliant.
- Ability to establish highly productive and detailed organizational skills/habits.
- Ability to actively listen and solve problems with cooperation, assertiveness, and flexibility for positive outcomes.
- Possess strong, professional written and oral communication skills for in-person, telephonic, and electronic use.
tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.