Hybrid EDI Operations Analyst — Payer & Data Support

Quadax; Middleburg Heights (OH); Hybrid; USD 50,000 - 60,000; Full time

Job summary

Quadax is seeking a Transmissions Engineer 1 to support electronic healthcare transaction processing, payer setup and connectivity, and file transmission workflows. You will work with EDI systems, troubleshoot transactions, and assist with payer integrations while supporting production environments.

The role involves collaboration with senior analysts and developers, handling 999/824s, remittance processing, and system administration tasks in a hybrid work model, with two onsite days per week.

Qualifications

• Basic understanding of computer systems and file management.
• Experience with Microsoft Windows.
• Proficiency with Microsoft Excel and Microsoft Word.
• Familiarity with text editors and file comparison tools.
• Ability to analyze logs and troubleshoot technical issues.
• Understanding of data formats and structured files.
• Entering/modifying database records for trading partners.

Responsibilities

• Monitor and support EDI transaction processing workflows.
• Investigate and resolve rejected or failed transaction files.
• Process and troubleshoot 999 and 824 acknowledgment files.
• Review transmission logs and identify processing errors.
• Resend claims and response files after validation.
• Monitor daily transmission queues and support operational incidents.
• Generate and manage support tickets and event requests.
• Assist with payer onboarding and connectivity setup.
• Support new and old payer configuration activities.
• Communicate with payers through phone, email, and web portals.
• Reset and manage payer credentials when required.
• Assist with testing and validation of payer implementations.
• Match remittance files to appropriate payer records.
• Research missing remittance transactions.
• Review and process remittance workflow exceptions.
• Assist with Xaminer remittance processing tasks.

Skills

Windows proficiency

Excel & Word

Log analysis

Data formats knowledge

Database updates

Troubleshooting

File management

Trading partner data entry

Tools

SQL Server

IBM Sterling Integrator

ServiceNow

JIRA

GitHub

Bitbucket

Visual Studio

Job description

Quadax is seeking a Transmissions Engineer 1 to support electronic healthcare transaction processing, payer setup and connectivity, and file transmission workflows. You will work with EDI systems, troubleshoot transactions, and assist with payer integrations while supporting production environments.

The role involves collaboration with senior analysts and developers, handling 999/824s, remittance processing, and system administration tasks in a hybrid work model, with two onsite days per week.