Healthcare EDI Support Analyst

EDI Operations Support

• →Monitor and support EDI transaction processing workflows.
• →Investigate and resolve rejected or failed transaction files.
• →Process and troubleshoot 999 and 824 acknowledgment files.
• →Review transmission logs and identify processing errors.
• →Resend claims and response files after validation.
• →Monitor daily transmission queues and support operational incidents.
• →Generate and manage support tickets and event requests.

Payer and Client Support

• →Assist with payer onboarding and connectivity setup.
• →Support new and old payer configuration activities.
• →Communicate with payers through phone, email, and web portals.
• →Reset and manage payer credentials when required.
• →Assist with testing and validation of payer implementations.

Remittance Processing

• →Support remittance reconciliation processes.
• →Match remittance files to appropriate payer records.
• →Research missing remittance transactions.
• →Review and process remittance workflow exceptions.
• →Assist with Xaminer remittance processing tasks.

System Administration and Monitoring

• →Monitor automated jobs and file-processing activities.
• →Support Sterling Integrator trading partner configurations.
• →Review system logs, .NET code and escalate issues appropriately.
• →Support remote server access and operational maintenance tasks.
• →Support internal applications and reporting functions.

File and Data Management

• →Work with ANSI healthcare transaction files.
• →Modify and validate large text-based transaction files.
• →Understand healthcare EDI file formats and payer response files.
• →Assist with data validation and quality assurance activities

• Basic understanding of computer systems and file management.
• Experience with Microsoft Windows.
• Proficiency with Microsoft Excel and Microsoft Word.
• Familiarity with text editors and file comparison tools.
• Ability to analyze logs and troubleshoot technical issues.
• Understanding of data formats and structured files.
• Entering/modifying database records for trading partners.

• Experience with healthcare EDI transactions (837, 835, 999, 824, 275).
• Familiarity with SQL databases and SQL Server.
• Knowledge of IBM Sterling Integrator.
• Experience with ServiceNow, JIRA, GitHub, or Bitbucket.
• Exposure to Visual Studio or software development environments.