EDI Quality Analyst - Healthcare Data & Compliance

iSupport Worldwide; Pasig; On-site; PHP 320,000 - 460,000; Full time

Benefits offered by this job

Free lunch

Onsite gym

Weekly fitness activity

Annual fitness challenge up to Php 700

Weekly engagement prizes up to Php 3,0

Upskilling academy

Modern facilities

Sleeping quarters

Game area

Chat room

Shower room

Job summary

iSupport Worldwide is seeking a motivated QA/EDI specialist to maintain the quality of inbound and outbound EDI files (ANSI X12, 834, flat files). The role requires sharp attention to detail, strong communication, and a focus on process improvement.

The ideal candidate has 1 year QA experience, at least 2 months in a BPO environment, and familiarity with HIPAA EDI protocols. Onsite work is required in Ortigas with a shifting schedule and Sat-Sun off.

Qualifications

• Bachelor's degree in any field or equivalent experience.
• 1 year of quality assurance experience.
• Minimum 2 months/years in the BPO/call center industry.
• 1 year of experience with EDI formats is a plus.
• 1 year of experience in US health insurance, customer service, or third‑party administrator is a plus.
• Working knowledge of HIPAA EDI protocols.
• Detail-oriented with continuous improvement focus.
• Excellent planning and organizational skills; can manage multiple tasks.

Responsibilities

• 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.
• Monitor all EDI file processing for quality, troubleshoot, and resolve file issues.
• Monitor, track, and update data required for file transmission.
• Assist internal and external teams with queries regarding file transactions.
• Participate in meetings as needed.
• Stay updated on industry standards and regulations related to US healthcare and EDI.
• Support a positive work environment and collaborate with team members.

Skills

Quality assurance

EDI knowledge

US healthcare knowledge

Communication skills

Microsoft Office

Education

Bachelor's degree

Tools

Word

Excel

Teams

Outlook

Job description

iSupport Worldwide is seeking a motivated QA/EDI specialist to maintain the quality of inbound and outbound EDI files (ANSI X12, 834, flat files). The role requires sharp attention to detail, strong communication, and a focus on process improvement.

The ideal candidate has 1 year QA experience, at least 2 months in a BPO environment, and familiarity with HIPAA EDI protocols. Onsite work is required in Ortigas with a shifting schedule and Sat-Sun off.