EDI Analyst I

What are important things that YOU need to know about this role?

Technical Skills

• Strong proficiency in SQL for querying, data analysis, and troubleshooting.
• Experience working with EDI healthcare transactions , including:
  • 277 (Claim Status)
  • 834 (Enrollment)
  • 835 (Payment/Remittance)
  • 837 (Claims)
  • 999 (Implementation Acknowledgment)

Work Environment

• Remote position
• Standard schedule: 8:00–4:00 or 8:00–4:30 PM CT

Work Style

• Highly self‑reliant with the ability to research answers, use available resources, and work independently with minimal oversight.
Strong problem‑solving skills and comfort navigating complex systems.

What will YOU be doing for us? The EDI Analyst I supports the EDI Analyst II in system reporting, revenue cycle analytics, and payer data management. This role serves as the secondary technical resource and backup to the EDI Analyst II, ensuring operational continuity when the level II analyst is unavailable.

The EDI Analyst works on assigned projects, participates in meetings, and assists with external vendor coordination under the guidance of the EDI Analyst II and Director of Operations.

What will YOU be working on every day?

• Assist in modifying and maintaining SQL queries using SQL Server Management Studio.
• Support reporting initiatives and system enhancements.
• Serve as backup to the EDI Analyst II during absences.
• Attend internal and external meetings related to system builds and payer reporting.
• Analyze 277/834/835/837/999 EDI files for trends and discrepancies.
• Assist with AR analytics and revenue cycle performance reporting.
• Support payer issue investigations and claim data validation.
• Participate in system testing and validation for updates or changes.
• Maintain documentation for reporting workflows and processes.
• Collaborate with EDI & Operations Analyst on internal system efficiencies.

What qualifications do YOU need to have to be GOOD candidate?

Required Education, Skills & Qualifications

• Bachelor Degree in Management Information Systems, Computer Science or related degree or equivalent work experience or equivalent years of internal experience.
  • Strong analytical and investigative skills
• Working knowledge of CPT codes and medical billing
• Understanding of Accounts Receivable processes
• Familiarity with 277, 834, 835, 837 and 999 EDI transactions
• Ability to communicate technical findings clearly

• Ability to prioritize and manage multiple projects
  

Required Software Proficiency

• SQL Server Management Studio (intermediate)
• Microsoft Access
• Microsoft Excel
• Microsoft Word
• Visual Studio
Notepad++

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Compensation Range: $ 51,244 - $76,865

Compensation Midpoint: $ 64,054