Healthcare EDI Analyst - Remote
Healthcare EDI Analyst - Remote
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Salary Not Disclosed
1 Vacancy
Job Description
Reporting to Experian Health 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. You will optimize product solutions supporting process improvements and navigating automation and AI technologies.
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.
- Leverage internal relationships to resolve transaction issues.
Qualifications :
- 3 years experience as an EDI analyst business analyst implementation or client/payer-side (payer or hospital/health system) experience in healthcare revenue cycle management software and technology required.
- 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.
- Experience 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.
Additional Information :
Benefits/Perks:
- Great compensation package and bonus plan
- Core benefits including medical dental vision and matching 401K
- Flexible work environment ability to work remote hybrid or in-office
- Flexible time off including volunteer time off vacation sick and 12-paid holidays
- Explore all our exciting benefits here: 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 collaboration wellness reward & recognition volunteering... the list goes on. Experians people first approach is award-winning; Worlds Best Workplaces 2024 (Fortune Top 25) Great Place To Work in 24 countries and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.
Our compensation reflects the cost of labor across several U.S. geographic markets. The base pay range for this position is listed above. Within this range individual pay is determined by work location and additional factors such as job-related skills experience and education. You will be also eligible for a variable pay opportunity.
Experian is proud to be an Equal Opportunity Employer for all groups protected under applicable federal state and local law including protected veterans and individuals with disabilities. Innovation is an important part of Experians DNA and practices and our inclusive workforce allows everyone to succeed and bring their whole self to work. If you have a disability or special need that requires accommodation please let us know at the earliest opportunity.
#LI-Remote
Remote Work :
Yes
Employment Type :
Full-time
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
