Job Description

Position: EDI Analyst 835/837/27X Transactions (Remote | 6+ Months Contract)

Location: Remote (US-based preferred)

Duration:6+ Months

Job Description:

We are seeking an experienced EDI Analyst with strong expertise in EDI 835, 837, and 27X healthcare transactions to support and enhance our healthcare EDI systems and processes. This role requires hands-on experience in healthcare claim processing, transaction mapping, and EDI integration.

Key Responsibilities:

• Analyze, design, implement, and support EDI 835 (Remittance), 837 (Claims), and 27X (Eligibility, Claim Status, etc.) transactions.
• Collaborate with payers, providers, and clearinghouses for EDI file exchange setup and troubleshooting.
• Work with cross-functional teams to ensure seamless integration between EDI systems and internal applications.
• Monitor and maintain HIPAA-compliant EDI transaction flows.
• Perform transaction mapping, data transformation, and validation.
• Develop and maintain documentation for all EDI processes, workflows, and exceptions.
• Troubleshoot and resolve EDI issues promptly and provide technical support to partners.

Required Skills & Experience:

• 4+ years of experience in Healthcare EDI with direct work on EDI 835, 837P/I, and 27X transactions.
• Strong understanding of HIPAA regulations and ANSI X12 standards.
• Hands-on experience with EDI tools like Edifecs, BizTalk, Seeburger, Sterling Integrator, or similar.
• Familiarity with clearinghouse operations, payer/provider workflows, and claims adjudication processes.
• Experience with SQL, XML, XSLT, and scripting for data extraction and validation is a plus.
• Excellent troubleshooting, analytical, and communication skills.

Preferred Qualifications:

• Experience working with Medicare/Medicaid or large insurance carriers.
• Background in Healthcare IT, Revenue Cycle Management, or Claims Processing.
• Knowledge of HL7, FHIR, or other interoperability standards is a plus.

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