Healthcare Edi Analyst

Experian Senior Healthcare

3+ years

$89,865 – $155,767 by Annual

United States

10 June 11, 2025

Job Description

Job Type: Remote Education: B.Sc./M.Sc/B.Pharm/M.Pharm/Life Science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Healthcare EDI Analyst – Remote (USA)

Job Summary:

Experian, a global leader in data and technology, is hiring a Healthcare EDI Analyst to join its Experian Health division. This remote, full-time opportunity focuses on the electronic exchange of healthcare data, HIPAA compliance, troubleshooting EDI transactions, and collaboration with technology and business teams. Candidates with at least 3 years of healthcare EDI experience are encouraged to apply.

Key Responsibilities:

Monitor, analyze, and resolve EDI transaction issues.
Ensure compliance with HIPAA regulations in all transactions.
Develop and maintain EDI documentation including companion guides and process checklists.
Collaborate with internal technology, operations, and business teams for process improvement.
Conduct training for internal teams on EDI standards and best practices.
Communicate connectivity and processing issues with stakeholders and external partners.
Utilize and support automation and AI technologies to optimize EDI processes.
Maintain strong partner relationships to ensure seamless EDI operations.
Host working sessions with clients, vendors, and trading partners.

Required Skills & Qualifications:

Minimum 3 years' experience as an EDI Analyst or in similar healthcare revenue cycle roles.
Strong understanding of EDI standards: X12, EDIFACT, HL7.
Familiarity with healthcare transactions: 270/271, 276/277, 278, 837, 835.
Proficient with EDI mapping tools and related applications.
Experience using Salesforce, Atlassian JIRA, Microsoft 365 suite with advanced Excel skills.
Solid knowledge of healthcare reimbursement workflows and patient access processes.
Familiarity with Agile methodologies (Scrum, Kanban).
Excellent communication and documentation abilities.

Perks & Benefits:

Competitive annual salary: $89,865 – $155,767.
Bonus opportunities.
Comprehensive health benefits (medical, dental, vision).
401(k) plan with company matching.
Flexible work environment: Remote, Hybrid, or On-site options.
15 days flexible time off, 12 paid holidays, volunteer leave options.
Recognition as a Great Place to Work™ and World's Best Workplaces™.

Company Overview:

Experian is a global data and technology leader serving industries including healthcare, finance, and automotive. With cutting-edge analytics and AI-driven solutions, Experian enables better decision-making for organizations and consumers worldwide. The company operates in over 32 countries with a workforce exceeding 23,000 professionals.

Work Mode:

Remote (Work from Home)

Call to Action:

Interested in advancing your career with a global tech innovator in healthcare data? Apply now and join Experian’s mission to shape the future of healthcare technology.

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Healthcare Edi Analyst

Job Description

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