EDI Analyst II: 835 Remittance & AI Automation — Remote

Zelis Healthcare Inc.

St. Louis (MO)

Hybrid

USD 65,000 - 82,650

Full time

14 days+
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Benefits offered by this job

401k with match
Health benefits
Paid time off

Job summary

Zelis Healthcare Inc. in the United States is seeking an experienced EDI Analyst II to support and optimize healthcare EDI integrations with a primary focus on ANSI X12 5010 835 Electronic Remittance Advice (ERA) transactions.

In this role you will troubleshoot complex EDI issues, improve integration processes through automation and AI-enabled tools, and ensure the accuracy, integrity, and compliance of healthcare payment data while collaborating with cross-functional teams and external

Qualifications

  • 5–7+ years of healthcare EDI experience with HIPAA ANSI X12 835 transactions.
  • Experience with data mapping and healthcare integration processes.
  • Strong analytical and problem-solving skills; capable of mentoring junior analysts.

Responsibilities

  • Analyze and troubleshoot ANSI X12 5010 835 (ERA) transactions for processing, formatting, balancing, and compliance issues.
  • Design and maintain EDI integration workflows, mappings, and testing plans.
  • Collaborate with internal teams and external partners to resolve integration challenges.
  • Use AI-enabled tools to improve data quality, validation, and reconciliation.

Skills

EDI analysis
SQL
ANSI X12 835
HIPAA compliance
Data mapping

Education

Bachelor's degree in IS/CS/Healthcare Administration

Tools

Edifecs
Crystal Validation
SQL Server
Jira

Job description

Zelis Healthcare Inc. in the United States is seeking an experienced EDI Analyst II to support and optimize healthcare EDI integrations with a primary focus on ANSI X12 5010 835 Electronic Remittance Advice (ERA) transactions.

In this role you will troubleshoot complex EDI issues, improve integration processes through automation and AI-enabled tools, and ensure the accuracy, integrity, and compliance of healthcare payment data while collaborating with cross-functional teams and external

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