Full-Time Senior Healthcare EDI Analyst

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
• Collaborating with internal teams and external partners
• Optimizing product solutions, supporting process improvements, and navigating automation and AI technologies

Specific duties include:

• 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, 276/277, 278, 837, 835) 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

Required Experience:

• 5+ 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
• 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

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