EDI Analyst
Core
Frontline help desk analyst providing phone support for EDI batch/real-time trading partners and Blue e portal users in a healthcare environment.
Role type
Senior IC help desk analyst (EDI/Healthcare)
Builds
Electronic claim, eligibility, authorization, and remittance workflows for healthcare providers
Domain
Healthcare + EDI (Electronic Data Interchange)
Deliverable
client delivery
Required skills
EDI troubleshooting, access management, password reset, HIPAA compliance, root cause analysis, user training, high-volume call handling, documentation
Preferred skills
Blue e portal familiarity, healthcare industry experience, advanced degree
Technologies
Blue e portal, EDI production systems, inquiry tracking database
Responsibilities
Investigate and resolve EDI and connectivity issues for trading partners and portal users; educate users on electronic claim and eligibility workflows; monitor EDI production systems for compliance and error rates; manage high-volume calls regarding login and password resets; train administrators on access security; update provider materials and user guides; ensure adherence to state, federal, HIPAA, and BCBSA regulations.
Seniority
Mid-level, hands-on IC
