Analyst I, Transaction Integrity

SSI•Mobile, AL

About The Position

The Analyst I, Transaction Integrity performs transaction verification, payer report analysis, missing remittance research, validation testing, edit testing, and X12 specification testing. The role analyzes routine issues and supports resolution activities while using approved automation and AI-assisted tools under guidance to improve quality, accuracy, and operational efficiency. The position verifies EDI submissions and investigates acknowledgement, remittance, and balancing issues; analyzes payer reports and coordinates with payer connections and internal teams; and executes and documents testing activities. It also supports enhancement planning, continuous improvement, work-item tracking, and timely delivery of transaction integrity, testing, and quality objectives. The analyst validates automated-tool outputs, identifies recurring issues and automation opportunities, escalates findings to management, and cross-trains across related functions. All employees share responsibility for information security and data protection under SSI’s Security-First Mindset. This position requires a high school diploma or GED. An associate or bachelor’s degree in a related field is preferred but not required. A combination of experience and advanced education may be substituted. Background checks and a drug test are required.

Requirements

High school diploma or GED required.
0–2 years of experience in software development, technical support, healthcare operations, EDI, or a related field; relevant coursework, internship experience, or equivalent practical experience is acceptable.
Strong proficiency with Microsoft Office applications and ability to rapidly learn and effectively use emerging technologies, automation solutions, AI-assisted tools, and business applications.
Knowledge of healthcare EDI transactions, including 837 transactions, payer acknowledgements, and related transaction workflows.
Ability to analyze transaction outcomes, validation results, operational data, and automated outputs to identify issues, trends, risks, and control gaps.
Ability to use approved automation and AI-assisted tools while maintaining accuracy, security, privacy, traceability, and appropriate human oversight.
Strong organizational, analytical, problem-solving, prioritization, written communication, and verbal communication skills.
Ability to work independently, adapt to changing priorities, and collaborate effectively across functional areas.
Ability to see clearly with or without corrective lenses and hear clearly with or without aids.
Ability to use hands, fingers, and wrists repetitively with a computer keyboard and other office equipment on a regular basis.
Ability to proficiently speak, read, and write in English.
Background checks and drug test required.
A combination of experience and advanced education may be substituted.

Nice To Haves

Associate or bachelor’s degree in Computer Science, Health Information Systems, Software Development, Information Technology, or a related field.

Responsibilities

Verify successful EDI transaction submissions using payer acknowledgement reports.
Research missing acknowledgements, remittance retrieval issues, balancing discrepancies, and missing remits; document findings, follow-up activities, and resolution evidence.
Analyze payer reports and communicate with payer connections and internal teams to support timely issue resolution.
Execute validation, edit, and X12 specification test cases; compare expected and actual results and document defects, evidence, discrepancies, and issue status.
Collaborate in enhancement planning and continuous improvement initiatives.
Maintain accurate work-item tracking and documentation and support timely delivery of transaction integrity, testing, and quality objectives.
Use approved automation and AI-assisted tools under guidance to support research, testing, analysis, and documentation; validate outputs before use.
Identify recurring issues and potential automation opportunities, escalate findings to management, and cross-train across quality assurance, verification, payer analysis, remit research, edit testing, and X12 specification testing.
Act as a positive role model and observe safety procedures and personnel policies.
Perform other duties as needed.
Contribute to the SSI Security-First Mindset by supporting secure processes, protecting company and data assets, recognizing and reporting security risks, improving operational preparedness, and promoting security collaboration.