EDI Reconciliation Data Analyst

Integrated Home•Miramar, FL

About The Position

Integrated Home Care Services (IHCS) is seeking a highly motivated, detail-oriented EDI X12 Claims and Enrollment Reconciliation Data Analyst. The role is responsible for ensuring the accuracy and integrity of EDI X12 transactions associated with claims and enrollment processes. The ideal candidate has strong analytical skills, a comprehensive understanding of healthcare claims and enrollment workflows, and expertise in EDI standards. Essential competencies include production support, business analysis, and project management.

Requirements

At least 5 years of healthcare-related EDI transaction experience.
Recent, in-depth knowledge and experience with 5010 837 (incoming claims and outgoing encounters), 834, 835, 270/271, and 999/277CA acknowledgement transactions.
2–3 years of client-facing experience and engagement with external customers.
Experienced knowledge of SQL queries.
Ability to analyze business systems, networking configurations, and data storage facilities.
Ability to build customized data interchange systems for cross-company or departmental use.
Knowledge of system testing and debugging.
Ability to gather user feedback, deploy completed systems, and provide maintenance support.
Experience training end-users on proper system use.
Resourcefulness and problem-solving aptitude.
Ability to multitask in a fast-paced environment.
Strong written and verbal communication skills.

Responsibilities

Ensure the accuracy and integrity of EDI X12 transactions related to claims and enrollment processes.
Analyze business systems, networking configurations, and data storage facilities.
Build customized data interchange systems for use across companies or departments.
Test and debug systems.
Gather user feedback about system accuracy, efficiency, and functionality.
Deploy completed systems and provide maintenance support.
Train end-users on proper system use.