Healthcare Edi Analyst

OverviewReporting to Experian Health, the EDI Analyst I 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.ResponsibilitiesMonitor 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.Qualifications2+ years' experience as an EDI analyst, business analyst, implementation, or client/payer-side 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 strong Excel skills and data analytics tools.Familiar with Agile methodologies, including Scrum and Kanban.About ExperianExperian is a global data and technology company, powering opportunities for people and businesses around the world.
We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software.
We also assist millions of people to realise their financial goals and help them to save time and money.We operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments.We invest in people and new advanced technologies to unlock the power of data and to innovate.
A FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 23,300 people across 32 countries.
Our corporate headquarters are in Dublin, Ireland.
Learn more at compensation package and bonus planCore benefits including medical, dental, vision, and matching 401KFlexible work environment, ability to work remote, hybrid or in-officeFlexible time off including volunteer time off, vacation, sick and 12 paid holidaysExplore all our exciting benefits here: Experian, our people and culture set us apart.
We are committed to creating an environment where everyone belongs and can excel, with focus on inclusion, work/life balance, development, wellness, collaboration, and recognition.Want to see what life at Experian is really like?
Explore Experian Life on social or visit our careers site.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.
If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.
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