Healthcare EDI Analyst - Claims & Payments

American Vision Partners; Phoenix (AZ); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical and dental insurance

Eye care discounts

401(k)

Paid holidays

PTO

Sick Time

Job summary

American Vision Partners in Phoenix, Arizona is seeking an experienced EDI Analyst. This role involves managing EDI transactions such as HIPAA eligibility inquiries and claims status while ensuring accurate implementation and ongoing support. Ideal candidates will have 5+ years of experience in healthcare revenue cycle management and familiarity with ANSI X12 transactions. Benefits include medical and dental insurance, eye care discounts, and opportunities for growth within a large eye care organization.

Qualifications

• Minimum five (5) years experience in Healthcare revenue cycle management.
• Experience with hands-on involvement with ANSI X12 Healthcare EDI transaction sets.
• Proficient in Microsoft Office.

Responsibilities

• Setup and Complete EDI registration for all EDI products.
• Research and analyze providers’ billing requirements.
• Maintain and update remit address changes with government and commercial payers.

Skills

Healthcare revenue cycle management

ANSI X12 Healthcare EDI transaction sets

Excel (advanced formulas, pivot table use)

Education

High school diploma or GED required

BA/BS in Information Technology, Computer Science, Computer Engineering

Tools

NextGen EHR system

Waystar

Change Healthcare

Job description

American Vision Partners in Phoenix, Arizona is seeking an experienced EDI Analyst. This role involves managing EDI transactions such as HIPAA eligibility inquiries and claims status while ensuring accurate implementation and ongoing support. Ideal candidates will have 5+ years of experience in healthcare revenue cycle management and familiarity with ANSI X12 transactions. Benefits include medical and dental insurance, eye care discounts, and opportunities for growth within a large eye care organization.