Healthcare EDI Analyst | Work From Home

Connext Global Solutions Inc; Philippines; Remote; PHP 500,000 - 750,000; Full time

Benefits offered by this job

Night differential 25%

Perfect attendance bonus

Mid-year bonus

Competitive compensation

Life insurance

HMO insurance

Great company culture

Job summary

Connext Global Solutions Inc is seeking a Healthcare EDI Analyst to manage and optimize Electronic Data Interchange processes within the healthcare Revenue Cycle Management environment for a client in the United States.

You will serve as the SME for EDI workflows, handle claims, remittances, and payments, and coordinate with clearinghouses and vendors to maintain stable connectivity. Strong problem solving and testing skills are essential.

Qualifications

• Minimum of four (4) years of experience in EDI analytics, implementation, mapping, healthcare integrations, or revenue cycle management.
• Experience supporting healthcare EDI transactions and payer connectivity.
• Has working knowledge in healthcare EDI transactions, particularly: 837 (Claims), 835 (Electronic Remittance Advice), 834 (Enrollment), 270/271 (Eligibility transactions).
• Experience working with healthcare systems, clearinghouses, payer portals, and EHR environments.

Responsibilities

• Serve as the SME for healthcare EDI processes, workflows, and transaction standards.
• Manage healthcare electronic transactions, including claims, remittance advice, and payments.
• Support ERA and EFT enrollment while ensuring successful electronic payment posting.
• Ensure consistent HRBP practices and service delivery across assigned business units.
• Troubleshoot transaction failures, broken loops, segment errors, and connectivity issues.
• Analyze claim rejections and exception trends to identify root causes and fixes.
• Coordinate with clearinghouses, payers, and vendors to maintain stable EDI connectivity.
• Conduct testing and validation for transaction interfaces and health system integrations.
• Drive payment automation and workflow improvements to boost revenue cycle performance.

Skills

EDI analytics

Healthcare RCM knowledge

Vendor coordination

Troubleshooting

Tools

Clearinghouses

Payer portals

EHR systems

Job description

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for a Healthcare EDI Analyst who will be working with Connext's Client in the United States of America.

What's in it for you?

• 25% Night Differential

• Perfect Attendance Bonus

• Mid-year Bonus!

• Competitive compensation

• Life insurance

• HMO Insurance

• Great company culture

What is the job?

The Healthcare EDI Analyst is responsible for managing and optimizing Electronic Data Interchange (EDI) processes within the healthcare Revenue Cycle Management (RCM) environment.

Responsibilities:

• Serve as the SME for healthcare EDI processes, workflows, and transaction standards.
• Manage healthcare electronic transactions, including claims, remittance advice, and payments.
• Support ERA and EFT enrollment while ensuring successful electronic payment posting.
• Ensure consistent HRBP practices and service delivery across assigned business units.
• Troubleshoot transaction failures, broken loops, segment errors, and connectivity issues.
• Analyze claim rejections and exception trends to identify root causes and fixes.
• Coordinate with clearinghouses, payers, and vendors to maintain stable EDI connectivity.
• Conduct testing and validation for transaction interfaces and health system integrations.
• Drive payment automation and workflow improvements to boost revenue cycle performance.

Qualifications:

• Minimum of four (4) years of experience in EDI analytics, implementation, mapping, healthcare integrations, or revenue cycle management.
• Experience supporting healthcare EDI transactions and payer connectivity.
• Has working knowledge in healthcare EDI transactions, particularly: 837 (Claims), 835 (Electronic Remittance Advice), 834 (Enrollment), 270/271 (Eligibility transactions).
• Experience working with healthcare systems, clearinghouses, payer portals, and EHR environments.