EDI Analyst I

Holista

6d • Remote

About The Position

The EDI Analyst I supports the EDI Analyst II in system reporting, revenue cycle analytics, and payer data management. This role serves as the secondary technical resource and backup to the EDI Analyst II, ensuring operational continuity when the level II analyst is unavailable.

The EDI Analyst works on assigned projects, participates in meetings, and assists with external vendor coordination under the guidance of the EDI Analyst II and Director of Operations.

Requirements

• Bachelor Degree in Management Information Systems, Computer Science or related degree or equivalent work experience or equivalent years of internal experience.
• Strong analytical and investigative skills
• Working knowledge of CPT codes and medical billing
• Understanding of Accounts Receivable processes
• Familiarity with 277, 834, 835, 837 and 999 EDI transactions
• Ability to communicate technical findings clearly
• Ability to prioritize and manage multiple projects
• Strong proficiency in SQL for querying, data analysis, and troubleshooting.
• Experience working with EDI healthcare transactions, including: 277 (Claim Status) 834 (Enrollment) 835 (Payment/Remittance) 837 (Claims) 999 (Implementation Acknowledgment)
• SQL Server Management Studio (intermediate)
• Microsoft Access
• Microsoft Excel
• Microsoft Word
• Visual Studio
• Notepad++
• Highly self‑reliant with the ability to research answers, use available resources, and work independently with minimal oversight.
• Strong problem‑solving skills and comfort navigating complex systems.

Responsibilities

• Assist in modifying and maintaining SQL queries using SQL Server Management Studio.
• Support reporting initiatives and system enhancements.
• Serve as backup to the EDI Analyst II during absences.
• Attend internal and external meetings related to system builds and payer reporting.
• Analyze 277/834/835/837/999 EDI files for trends and discrepancies.
• Assist with AR analytics and revenue cycle performance reporting.
• Support payer issue investigations and claim data validation.
• Participate in system testing and validation for updates or changes.
• Maintain documentation for reporting workflows and processes.
• Collaborate with EDI & Operations Analyst on internal system efficiencies.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 1-10 employees