EDI Analyst, Health - Remote

Experian 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 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 realize their financial goals and help them save time and money.

We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more industry segments.

We invest in people and new advanced technologies to unlock the power of data. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 22,500 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com.

Reporting to the client implementation manager, 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, and collaborating with internal teams and external partners. Your role will involve optimizing product solutions, supporting process improvements, and navigating automation and AI technologies. The EDI Analyst will leverage internal and external relationships to resolve transaction issues,

You will:

• 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.

Qualifications:

• 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.

Benefits/Perks:

• 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

Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, engagement, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian's people first approach is award-winning; Great Place To Work™ in 24 countries, FORTUNE Best Companies to work and Glassdoor Best Places to Work (globally 4.4 Stars) to name a few. Check out Experian Life on social or our Careers Site to understand why.

Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experian's DNA and practices, and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work, irrespective of their gender, ethnicity, religion, colour, sexuality, physical ability or age. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.