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Remote EDI ERAEFT Analyst
Job Location:
Monthly Salary:
Posted:
8 September 2026 (10 hours ago)
Posted:
Application Deadline:
6 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Overview
*This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments we are not seeking developers and/or designers thank you!*
As an EDI Analyst you will be responsible for the development implementation and ongoing maintenance of the Electronic Data Interchange (EDI) transactions including HIPAA 270/271 eligibility inquiry and response 276/277 claims status inquiry and response and 278 referral/prior authorization transactions. The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information systems staff government and third-party payers clearinghouses and Nextgen technical support personnel to implement these transactions in an integrated efficient and cost-effective manner. This position will have responsibility for planning implementing and managing HIPPA EDI projects relating to these transactions including end-user contact analysis design mapping programming training and documentation. Ideal candidates will require a certain level of revenue cycle management experience in order to successfully fulfill the job responsibilities.
This position has the potential to be remote in the following states: Arizona Nevada California New Mexico and Texas.
Responsibilities
*This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments we are not seeking developers and/or designers thank you!*
As an EDI Analyst you will be responsible for the development implementation and ongoing maintenance of the Electronic Data Interchange (EDI) transactions including HIPAA 270/271 eligibility inquiry and response 276/277 claims status inquiry and response and 278 referral/prior authorization transactions. The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information systems staff government and third-party payers clearinghouses and Nextgen technical support personnel to implement these transactions in an integrated efficient and cost-effective manner. This position will have responsibility for planning implementing and managing HIPPA EDI projects relating to these transactions including end-user contact analysis design mapping programming training and documentation. Ideal candidates will require a certain level of revenue cycle management experience in order to successfully fulfill the job responsibilities.
This position has the potential to be remote in the following states: Arizona Nevada California New Mexico and Texas.
Responsibilities
- Setup and Complete EDI registration for all EDI products including facilitating payer-specific enrollments until payer grant approval.
- Install and Configure healthcare electronic data interchange applications on providers network and/or billing stations.
- Research and analyze providers billing requirements to ensure all data fields are mapped and converted correctly in X12 ANSI inbound/outbound file.
- Initiates test EDI transaction prior initial implementation live environment. Conduct post-live support for 6 to 8 weeks by monitoring and assessing the overall usage of EDI products and conducting weekly follow-up calls with billing administrators to ensure accuracy
- Customize the provider inbound/outbound EDI transactions based on specific payer edits/requirements received in responses.
- Make recommendation on additional resources and feature that adds leverage to EDI product and provides efficient solutions to the practice business operations.
- Devise solutions and provide status to revenue cycle leadership throughout the EDI implementation process on a bi-weekly basis.
- Serve as liaison between provider and healthcare trading partners regarding EDI inquiries including rejections with enrollment claims payments and/or clearinghouse interfacing.
- Setup new payer/ connection setup testing and launch. Research and analyze new payer requests and submit to EDI QA/Development team to program accordingly.
- Maintains and update remit address changes with government and commercial payers weekly monthly or quarterly
- Manage payer website logins grant new access deactivate access and provide password resets for revenue cycle management teams.
- Formal testing methodology test plan development and execution and documentation of test results
- All other assigned duties.
- REQUIRED: Minimum five (5) years experience in Healthcare revenue cycle management (Payment Posting Patient Access).
- A minimum of 2-3 years experience with hands-on involvement relative to ANSI X12 Healthcare EDI transaction sets (CA 276/277 835)
- Experience with ERA/EFT enrollments from a hands-on analyst or role perspective.
- Prior EDI or System implementation and Transaction Mapping experience
- Experience in NextGen EHR system or other healthcare EHR software.
- Proficient in Microsoft Office specific but not limited to Excel (advanced formulas pivot table use) PowerPoint Word Outlook and SmartSheet navigation.
- High school diploma or GED required. BA/BS in Information Technology Computer Science Computer Engineering equivalent is preferred.
- Previous experience in clearinghouse platform use and navigation e.g. Waystar Change Healthcare.
Required Experience:
IC
