Hybrid EDI Operations Analyst - Claims & Encounters

Elevance Health; Severn (MD); Hybrid; USD 32,000 - 53,000; Full time

Job summary

Elevance Health, Inc. is seeking an EDI Operations Analyst I - Encounters. This hybrid role requires in-office presence 1–2 days per week to foster collaboration, with alternative locations considered within commuting distance.

The role focuses on provider liaison duties for electronic data interchange and encounters processing. The position supports development of filing procedures, vendor communications, and provider education on EDI.

Qualifications

• Requires a HS diploma or equivalent.
• Experience in claims or customer service; or combination of education and experience.
• Ability to conduct detailed research of claims, systems reports, and telecommunications concepts is helpful.

Responsibilities

• Assist in development or modification of claims filing procedures by analyzing business needs and client requirements.
• Provide vendor specifications to vendors and clearing houses.
• Enroll providers for claims and encounter submission.
• Educate providers regarding EDI and work with vendors on connectivity implementations.

Skills

Claims processing

Customer service

Research

Education

High School diploma

Job description

Elevance Health, Inc. is seeking an EDI Operations Analyst I - Encounters. This hybrid role requires in-office presence 1–2 days per week to foster collaboration, with alternative locations considered within commuting distance.

The role focuses on provider liaison duties for electronic data interchange and encounters processing. The position supports development of filing procedures, vendor communications, and provider education on EDI.