EDI Business Analyst Financials - Mid-Level - 100% Remote

Published date Posted on Indeed on Jun 19, 2022 (10 d ago)

EDI Business Analyst- Financials

Seeking an EDI Business Analyst Financials - Mid-Level required to respond to end-user requests for assistance in the operation and functionality as Tier II level support with EDI transactions using the Accredited Standards Committee (ASC) X12 Healthcare. Excellent customer service skills and critical thinking required to be successful. The candidate must be able to assist in clearing Tier 1 and Tier 2 trouble tickets. The candidate must be able to effectively interact with the customer/ user and be able to refer ongoing or unresolved issues to the appropriate technical, analysis, assurance, or engineering support team.

Location- 100% REMOTE

Salary range of $65,000 - $75,000 is based on experience and technical interview.


  • Provide first level of support for EDI financial transaction and system failures
  • Provide excellent customer service experience
  • Monitor EDI transactions, troubleshoot errors identify and resolve problems related to EDI processes and applications.
  • Maintain and Support processing of EDI transactions using the Accredited Standards Committee (ASC) X12 Healthcare, Finance and Supply Chain standards, Fast Healthcare Interoperability Resources (FHIR), the National Council for Prescription Drug Programs (NCPDP) standards, JavaScript Object Notation (JSON), and the Health Level 7 (HL7) protocol. e.g 835, 837, 275, 278, 999, 270/271 and 276/277 transaction sets.
  • Perform application monitoring across various platforms such as Mainframe, Windows/Linux Servers and Cloud to ensure they are running as scheduled.
  • Work closely, coordinate and communicate with customers, vendors and trading partners (e.g. commercial vendors, healthcare payers and providers, utility providers), IT and change requestors. Log requests in ServiceNow or other ticketing systems
  • Monitor EDI team mailbox, respond to requests and file correspondence accordingly. Perform initial troubleshooting and triage for production issues to resolve, document results of triage on trouble ticket, and escalate to Tier Two when unable to resolve issues.
  • Update and provide weekly/monthly incident and EDI Transaction and volume reports.
  • Provide support to all client issues and document standard operating procedures according to data requirements. Prepare all documents according to required guidelines, update and create procedures to keep documentation current.
  • Provide ticket statuses to customers or requestors on a regular interval until ticket is resolved.
  • Able to identify and organize tickets according to priority
  • Provide Root Cause Analysis (RCA) documentation following system outages and critical incidents.
  • Coordinate activities including on-time delivery, testing and production deployments.
  • Participate in change management, disaster recovery and production support operations.


  • Bachelors and Five (5) years or more experience.
  • Must have EDI Financial system experience
  • Must have experience mapping x12 documents
  • Must have knowledge of 810 and 850 transactions
  • Preferred more business analyst vice systems analyst
  • Bachelor's degree in engineering, or a related scientific or technical discipline is required.
  • 5 years' experience in the EDI Healthcare field
  • Ability to obtain security clearance

COVID Policy
: In accordance with the Federal Executive Order on Ensuring Adequate COVID Safety Protocols for Federal Contractors, this position requires that you are fully vaccinated at least 2 weeks before your start date. You will be required to provide proof of vaccination before you begin employment.

It is our policy to promote equal employment opportunities. All personnel decisions, including, but not limited to, recruiting, hiring, training, promotion, compensation, benefits, and termination, are made without regard to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identity, citizenship status, veteran status, disability or any other characteristic protected by applicable federal, state or local law.

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