Remote EDI Claims & Encounter Analyst

Big Future Music Group; Bakersfield (CA); Hybrid; USD 45,000 - 54,000; Full time

Job summary

Big Future Music Group seeks an experienced Claims & Encounter EDI Analyst to manage in-loads, submissions, and rejection analysis. The role requires strong attention to detail and knowledge of 837/277/999 EDI transactions.

You will collaborate with health plans, clearinghouses, and internal teams to ensure accurate data exchange and timely reporting, with remote/hybrid work considered case-by-case.

Qualifications

• Minimum 3 years’ experience in healthcare EDI, claim processing, or related role.
• Experience with 837, 277, 999 EDI transactions.

Responsibilities

• Process daily claim and encounter in-loads and submissions.
• Troubleshoot rejected or failed transactions and supply corrections.

Skills

Healthcare EDI

Claim processing

Encounter submission

EDI troubleshooting

Excel

SQL

Education

High School Diploma or equivalent

Tools

EZ-CAP

EZ-EDI 837 Mapping Tool

SQL/T-SQL

Job description

Big Future Music Group seeks an experienced Claims & Encounter EDI Analyst to manage in-loads, submissions, and rejection analysis. The role requires strong attention to detail and knowledge of 837/277/999 EDI transactions.

You will collaborate with health plans, clearinghouses, and internal teams to ensure accurate data exchange and timely reporting, with remote/hybrid work considered case-by-case.