Edi Analyst

Summary

Join Experian as an EDI Analyst II and manage the electronic exchange of healthcare information. Reporting to the client implementation manager, you will monitor and troubleshoot EDI transactions, ensure HIPAA compliance, and collaborate with internal and external partners. This role involves optimizing product solutions, supporting process improvements, and utilizing automation and AI technologies. You will leverage relationships to resolve transaction issues and develop EDI documentation. The position requires 5+ years of experience as an EDI analyst in healthcare revenue cycle management. Experian offers a remote work option, a competitive compensation package, and comprehensive benefits.

Requirements

• 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 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

Responsibilities

• 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
• 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

Preferred Qualifications

Strong knowledge of transaction sets (270/271, 276/277, 278, 837, 835) and Patient Estimates

Benefits

• 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 in-office
• Flexible time off including volunteer time off, vacation, sick and 12-paid holidays