EDI Lead

iSupport Worldwide; Manila; On-site; PHP 893,000 - 1,228,000; Full time

Benefits offered by this job

Free lunch

Onsite gym

Weekly fitness activities

Upskilling academy

State-of-the-art facilities

Sleeping quarters

Job summary

iSupport Worldwide is seeking an EDI Lead to oversee quality and processing of inbound and outbound EDI files (ANSI X12, 834, flat files, IEEE). You will ensure data accuracy, coordinate with vendors and carriers, and drive process improvements while maintaining documentation and standards.

The role requires 2–3 years in QA, 2–3 years with EDI formats, SQL experience, and familiarity with HIPAA EDI protocols, ideally supporting international customers in a US healthcare context.

Qualifications

• Bachelor's degree or equivalent; education and/or experience considered
• 2-3 years experience in quality assurance
• 2-3 years experience with EDI formats, including mapping new files
• 1-2 years experience with SQL
• Experience serving international customers; HIPAA EDI knowledge is a plus
• 3 years experience in US health insurance/customer service or related field is a plus
• Familiarity with US healthcare industry standards and EDI regulations is a plus
• Experience working with vendors and carriers on EDI implementations is a plus

Responsibilities

• EDI Quality & File Processing: monitor quality, troubleshoot and resolve file issues
• Process Improvement & Documentation: identify issues, develop and maintain EDI docs and improvement plans
• Team Support & Collaboration: assist teams, participate in meetings, maintain positive work environment

Skills

Detail-oriented

Planning & organizational skills

Interpersonal skills

Independent & team work

Education

Bachelor's/College Degree in any field

Tools

Microsoft Office (Word, Excel, Teams, Outlook)

Job description

We are looking for a highly motivated, independent, and organized EDI Lead with strong communication and problem-solving skills to maintain the quality of inbound and outbound Electronic Data Interchange (EDI) files, including ANSI X12, 834 files, flat files, and IEEE formats, through review of each file and any reported discrepancies. The ideal candidate brings a keen eye for detail and a dedication to upholding and enhancing quality standards.

Key Responsibilities:

• EDI Quality & File Processing
  • Monitor all EDI file processing for quality and troubleshoot and resolve all transaction file issues
  • Monitor, track, and update data required for file transmission. n Consistently maintain standards for monthly quality
  • Work directly with vendors and carriers on new and changed file requirements, both inbound and outbound, from initiation to implementation
• Process Improvement & Documentation
  • Identify and report issues and opportunities for improvement related to processes and procedures
  • Develop and maintain documentation related to EDI processes, including reports, metrics, and improvement plans
  • Own team improvement initiatives and Knowledge Base maintenance
  • Stay updated on industry standards and regulations related to US healthcare and EDI
• Team Support & Collaboration
  • Assist internal and external teams with any queries regarding file transactions
  • Assist the EDI team with process questions and escalated issues
  • Participate in meetings as needed
  • Support and sustain a positive work environment that fosters team performance through own work and behavior
  • Perform special tasks and assignments as needed

Education & Experience:

• Bachelor's/College Degree in any field; an equivalent combination of education and/or experience will be considered
• 2-3 years of prior experience in quality assurance
• 2-3 years of prior experience with EDI formats, including mapping new files
• 1-2 years of experience with SQL
• Experience serving international customers. n Working knowledge of HIPAA EDI protocols
• 3 years of work experience specializing in US health insurance, customer service, or third-party administration, a plus
• Familiarity with US healthcare industry standards and regulations related to EDI, a plus
• Experience working directly with vendors and carriers on EDI file implementations, a plus

Skills & Competencies:

• Detail-oriented with a focus on continuous improvement and problem-solving
• Excellent planning and organizational skills, with the ability to effectively manage multiple tasks to completion
• Proficient in Microsoft Office (Word, Excel, Teams, Outlook)
• Strong interpersonal skills, with the ability to effectively work and collaborate with individuals or groups at all organizational levels; able to work independently and as part of a team
• Ability to maintain confidentiality of sensitive information
• Minimum of 4 years of experience in the BPO/call center industry

• Free lunch meal, fruits, snacks, and drinks
• Onsite gym with a free professional instructor
• Weekly fitness activity and an annual fitness challenge where you can win up to Php 70,000
• Weekly engagement activities with prizes that are up to Php 3,000
• Free upskilling academy to improve your performance and skillset
• State-of-the-art facilities from toilets to your workstation
• Amenities such as sleeping quarters, game area, chat room, shower room