Analyst I (Receiver Configuration) - Remote

Availity

10d•Remote

About The Position

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission. We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. We are seeking an Analyst I to join our fast‑paced, collaborative team responsible for ensuring the accurate and timely processing of healthcare claim responses. In this role, you'll investigate missing claim acknowledgments, monitor system dashboards for payer issues, and resolve high‑volume tickets through Jira to prevent downstream delays for our customers. This position is ideal for someone with healthcare X12 experience, strong attention to detail, and the ability to adapt quickly while contributing to a highly supportive and team‑oriented environment.

Requirements

Associate’s degree or equivalent work experience
One year of experience in a similar analyst role within the healthcare space.
Healthcare background is required to be considered for this role.
Experience with Submitters, Vendors and/or Receivers/Payers
Strong familiarity with X12/EDI transactions; specifically 837P, 837I, 835, 270/271, 276/277, 278.
Customer service and/or relationship management experience
Strong written and verbal communication skills
Ability to effectively manage multiple priorities in a fast paced environment
Ability to work independently with minimal guidance.
Focus on accountability for issue resolution.

Nice To Haves

Experience with system and/or software monitoring applications a plus
Experience with ticketing systems such as Jira and/or Salesforce
Experience with Availity systems and processes a plus
Familiarity with test plans and concepts
Understanding of HIPAA implementation guides for claims and other transactions
Working knowledge of ANSI code sets a plus

Responsibilities

Investigate missing claim responses (MCRs) by researching loops, segments, and X12 transaction details to determine why payers have not acknowledged claims.
Monitor dashboards to identify trends and proactively troubleshoot potential issues before they impact customers.
Manage and resolve a high volume of Jira tickets, ensuring timely and accurate handling of assigned cases.
Review, analyze, and clear -999 batch responses, identifying root causes related to edits, enrichments, system errors, or customer data issues.
Communicate with receivers and payers primarily via email to gather information, clarify discrepancies, and resolve processing issues, with occasional live calls when necessary.
Collaborate closely with internal teams, including SMEs and peers, to escalate issues and obtain guidance during daily huddles and weekly check‑ins.
Utilizes Availity tools including JIRA, Confluence and Salesforce to track issues and progress of assigned tasks.
Maintain accurate and thorough documentation within cases to ensure continuity, compliance, and visibility of work performed.
Adapt to shifting priorities throughout the day as work moves between MCRs, case queues, -999s, and other system-generated alerts.
Apply critical thinking and problem‑solving skills when troubleshooting anomalies in transactions and proactively preventing downstream claim delays.
Participate in ongoing training and learning opportunities to deepen system knowledge and stay current with process updates.

Benefits

Availity is a certified "Great Place to Work"!
We have several Culture teams, a Young Professionals Group, and various ways to engage with fellow Availity associates
Availity is a culture of continuous learning.
We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one!
We offer unlimited PTO for salaried associates + 9 paid holidays.
Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.
We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
We offer education reimbursement!
Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.
Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.