EDI Operations Analyst – Encounters (Hybrid)

Elevance Health; Chicago (IL); Hybrid; USD 32,000 - 53,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) +match

Stock purchase program

Job summary

Elevance Health is seeking an EDI Operations Analyst I - Encounters for a hybrid in-office/remote role. The position supports claims filing procedures, vendor coordination, and provider education with a focus on EDI systems.

Located in Illinois with possible other locations within commuting distance; vaccination and hybrid work policies apply. The role emphasizes working with vendors, provider enrollment for encounters, and ongoing education on EDI concepts in a dynamic health benefits

Qualifications

• HS diploma or equivalent; any previous experience in claims or customer service, or combination of education and experience.
• Claims encounters experience preferred.

Responsibilities

• Assists in the development or modification of claims filing procedures, analyzing business and clients' needs.
• Provides vendor specifications to vendors and clearing houses.
• Responsible for enrolling providers for claims and encounter submission.
• Educates providers regarding EDI.
• Works with vendors regarding implementation or connectivity related to EDI system.

Skills

EDI systems

Vendor management

Claims enrollment

Provider education

Education

HS diploma or equivalent

Job description

Elevance Health is seeking an EDI Operations Analyst I - Encounters for a hybrid in-office/remote role. The position supports claims filing procedures, vendor coordination, and provider education with a focus on EDI systems.

Located in Illinois with possible other locations within commuting distance; vaccination and hybrid work policies apply. The role emphasizes working with vendors, provider enrollment for encounters, and ongoing education on EDI concepts in a dynamic health benefits