Top 4 Automation controls specialist Jobs in Centralia Wa

EDI Specialist
PSW —Olympia, WA
- $80,000 - $100,000 a year
- Full-time
- HIPAA
- Mid-level
- 3 years
- Health savings account
- Disability insurance
Quick Apply
HVAC Controls - Building Systems Specialist II
ENFRA LLC —Olympia, WA
- $30.72 - $41.02 an hour
- Full-time
- 7 years
- Microsoft Excel
- Up to 50% travel
- Opportunities for advancement

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EDI Specialist

PSW -
Olympia, WA

Quick Apply

Job Details

Full-time
$80,000 - $100,000 a year

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Medical claims processing
EDI
Task prioritization
Technical troubleshooting support

Full Job Description

Summary / Objective:
The EDI Specialist is responsible for the end-to-end management, monitoring, and optimization of electronic data interchange (EDI) transactions supporting healthcare claims processing, enrollment, encounter submissions, and financial remittance. This role ensures accurate, timely, and compliant data exchange between clearinghouses, providers, health plans, and regulatory entities (e.g., CMS), including responsibilities aligned with delegated claims processing and Medicare Advantage requirements. The position plays a critical role in maintaining data integrity, supporting downstream reporting and encounter submissions, and ensuring compliance with HIPAA X12 standards, CMS regulations, and trading partner requirements.

Essential Functions:

EDI Operations & Monitoring

Monitor, validate, and process inbound and outbound EDI transactions (e.g., 837, 835, 834, 277CA, 999)
Validate file transmission schedules and ensure timely receipt and delivery of EDI files
Track day-to-day EDI and batch processing activity to ensure operational continuity
Contribute to shifting processes from manual/batch-heavy workflows toward more real-time or event-driven data exchange where appropriate.

Issue Resolution & Data Integrity

Troubleshoot EDI transaction issues, including format errors, validation failures, and data discrepancies
Conduct SNIP-level validation troubleshooting and perform root cause analysis
Resolve gaps in data flow and business communication across systems and trading partners

Trading Partner Onboarding & Testing

Lead end-to-end EDI onboarding for new and existing trading partners
Coordinate implementation plans with internal teams (e.g., compliance, operations, customer service)
Develop, execute, and document test scripts for X12 EDI transactions
Ensure transactions meet companion guide specifications and business requirements prior to production deployment

Compliance, Audit & Reporting

Ensure EDI processes comply with HIPAA X12 5010 standards and trading partner companion guides
Support internal and external audit requests related to data integrity and interface controls
Develop and maintain EDI workflows, procedures, and process documentation
Produce operational reporting and KPI analysis for leadership

Encounter Submission

Manage the end-to-end encounter submission process, including file preparation, validation, submission, and reconciliation
Monitor encounter acceptance and rejection rates and coordinate resubmissions as needed
Ensure alignment between claims adjudication outputs and encounter submission requirements

Continuous Improvement

Identify opportunities to improve EDI processes and reduce manual intervention
Implement automation and workflow enhancements
Drive ongoing improvements to transaction processing and data quality
Create/review/update EDI documentation
Participate in evaluating and improving current integration architecture to better support scalability, flexibility, and future state needs.

Knowledge / Skills / Abilities:

Strong attention to detail and ability to manage highly regulated documentation with accuracy and consistency.
Clear written and verbal communication skills, audit support, committee documentation, and cross-functional collaboration.
Ability to interpret and apply X12 and regulatory standards.
Understanding of healthcare data integrity principles, including claims, eligibility, and enrollment data controls, and audit readiness expectations.
Strong organizational, time management, prioritization, and follow-through skills.
Proficiency with Microsoft Office Suite and Notepad++

Required Education and/or Work Experience:

3–5 years of experience working with EDI in healthcare
Experience supporting claims processing and/or enrollment workflows
Strong troubleshooting and analytical skills.

Preferred Education and/or Work Experience:

Bachelor’s degree in Healthcare Administration, Information Systems, Business, or related field
Experience supporting Medicare Advantage plans, including encounter submissions
SQL experience
Hands on experience with API and SFTPs
Ability to support data interoperability

*PSW does not typically hire at the top of the pay range *

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Health insurance
Life insurance
Paid time off
Tuition reimbursement
Vision insurance

Quick Apply

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automation controls specialist jobs in centralia wa

EDI Specialist

HVAC Controls - Building Systems Specialist II

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