EDI Analyst Health - Remote
EDI Analyst Health - Remote
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Reporting to the client implementation manager the EDI Analyst II will manage and support the electronic exchange of healthcare information. Responsibilities include establishing connectivity to exchange transactions monitoring and troubleshooting EDI transactions ensuring compliance with HIPAA regulations and collaborating with internal teams and external partners. Your role will involve optimizing product solutions supporting process improvements and navigating automation and AI technologies. The EDI Analyst will leverage internal and external relationships to resolve transaction issues
You will:
- Monitor and troubleshoot EDI transactions to resolve errors promptly.
- Maintain and grow direct connections with product and technology teams.
- Collaborate with internal teams and external partners on EDI issues.
- Ensure EDI transactions comply with HIPAA regulations.
- Communicate EDI connectivity issues with stakeholders.
- Identify process improvement opportunities with IT operations and business teams.
- Strong knowledge of transaction sets (270/271 276/) and Patient Estimates.
- Communicate with all partners regarding EDI API and web/screen capture connectivity issues.
- Develop and maintain EDI documentation including companion guides smart checklists payer lists and internal process documentation.
- Host external working sessions with trading partners vendors and clients.
- Provide training and support to internal teams on EDI processes and best practices.
- Support automation and AI technologies.
Qualifications :
Qualifications:
- 5 years experience as an EDI analyst business analyst implementation or client/payerside (payer or hospital/health system) experience in healthcare revenue cycle management software and technology required.
- Strong knowledge of EDI protocols and standards specifically 27x and 83x healthcare transactions.
- Proficiency in EDI standards (X12 EDIFACT HL7) EDI mapping tools and related software applications
- Experience with business processes and workflows related to healthcare reimbursement and patient access.
- Good knowledge and experience in using Salesforce Atlassian JIRA Microsoft 365 applications with great proficiency in excel (can perform complex functions) and other data analytics tools.
- Familiar with Agile methodologies including scrum and Kanban.
Benefits/Perks:
- Can be remote from anywhere within the US
- Great compensation package and bonus plan
- Core benefits including medical dental vision and matching 401K
- Flexible work environment ability to work remote hybrid or inoffice
- Flexible time off including volunteer time off vacation sick and 12paid holidays
Additional Information :
Our uniqueness is that we celebrate yours. Experians culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI work/life balance development authenticity engagement collaboration wellness reward & recognition volunteering... the list goes on. Experians people first approach is awardwinning; Great Place To Work in 24 countries FORTUNE Best Companies to work and Glassdoor Best Places to Work (globally 4.4 Stars) to name a few. Check out Experian Life on social or our Careers Site to understand why.
Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experians DNA and practices and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work irrespective of their gender ethnicity religion colour sexuality physical ability or age. If you have a disability or special need that requires accommodation please let us know at the earliest opportunity.
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
Company Industry
Department / Functional Area
Customer Service
Key Skills
- SQL
- Information Technology
- data integrity
- Test Scripts
- AS2
- Access
- Excel
- ERP
- XML
- Troubleshoot
- Edifact
- Computer information system
- Sftp
- UNIX
