EDI Operations Analyst at Waystar

| Louisville, KY
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The role of the EDI Analyst is to work with trading partners to ensure timely and accurate posting of all responses to claim submission, eligibility request, claim status request and remits, while continuously improving the department processes and procedures to ensure the highest value possible for our customers. Function as EDI expert assisting and training other EDI Production team members.

What you'll be doing:

  • Research and address missing claim responses from production reports with our trading partners
  • Take ownership of file transmission issues
  • Maintain a full understanding of claim responses for your assigned routes
  • Analyze response parsing errors and effectively communicate program requirements to Engineering

  • Pursue better connectivity options for automation, security, and performance
  • Ensure 835 transactions are received from trading partner's FTP/website once available.
  • Ensure payers are accurately identified from inbound 835 transactions
  • Ensure that 835s transactions are syntactically correct
  • Alert Waystar clients and staff of any variance in receipt of 835 transactions

  • Review trading partner emails to ensure issues/changes are communicated and addressed
  • Implementation of new direct connections and industry mandates
  • Manage of current route connections and payer setups
  • Contribute to the continuing enrichment of Route/Payer Account contacts in Salesforce
  • Assist team members with production issues

  • Assist with training new employees
  • Research and address internal requests for assistance received in the 'EDI Production Queue'
  • Perform other duties as assigned by leadership within the area of responsibility and control

What we're looking for:

  • Excellent written and verbal communications skills
  • Excellent analytic and problem solving skills
  • Knowledge of Windows-based computer environment, including MS Office and related programs

  • Active ownership and responsibility regarding duties and task (sense of urgency)
  • Ability to work unsupervised in a corporate environment
  • Experience with healthcare claims transactions
  • Technical support experience
  • EDI X12 healthcare transactions experience

  • SQL (or propensity to learn)
  • Excel

Waystar provides cloud-based technology that simplifies and unifies healthcare payments. Together, our technology, data and client support streamline workflows and improve financials for our clients, so that they can focus on their patients. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic and fun.

Waystar products have won Best in KLAS® or Category Leader every year since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.com or follow @Waystar on Twitter.
More Information on Waystar
Waystar operates in the Healthtech industry. The company is located in Louisville, KY, Duluth, GA, Chicago, IL, Overland Park, KS and Denver, CO. Waystar was founded in 2018. It has 967 total employees. It offers perks and benefits such as Health Insurance Benefits, 401(K), Remote Work Program. To see all 56 open jobs at Waystar, click here.
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