EDI Analyst, Health - Remote - job 1 of 2

As an EDI Analyst at Experian, your main responsibilities include managing the electronic exchange of healthcare information, troubleshooting EDI transactions, ensuring compliance with HIPAA regulations, and collaborating with both internal teams and external partners to resolve transaction issues. Additionally, you'll be involved in optimizing product solutions and documentation, supporting automation and AI technologies, and providing training to internal teams on EDI best practices.

To qualify for the EDI Analyst position at Experian, you need at least 5 years of experience as an EDI analyst or similar roles in healthcare revenue cycle management. Strong knowledge of EDI protocols and standards, particularly 27x and 83x healthcare transactions, is essential. You'll also need proficiency in EDI standards such as X12 and HL7, familiarity with tools like Salesforce and Atlassian JIRA, and great analytical skills, particularly in Excel.

Experian supports EDI Analysts by providing access to a flexible work environment, advanced technology solutions, and various resources for professional development. You will have the opportunity to collaborate with product and technology teams and contribute to process improvement, all while working in a company that highly values diversity and inclusion. Additionally, Experian offers a competitive compensation package and comprehensive benefits to ensure a fulfilling career.

Yes! The EDI Analyst role at Experian is fully remote, allowing you the flexibility to work from anywhere within the United States. This not only helps you maintain a healthy work-life balance but also gives you the freedom to manage your time effectively while contributing to critical projects in the healthcare domain.

As an EDI Analyst at Experian, you should be familiar with various tools and technologies, including EDI mapping tools, Microsoft 365 applications, and data analytics platforms. Proficiency in Excel for complex functions is essential, along with experience using Salesforce and Atlassian JIRA. Being knowledgeable about Agile methodologies, particularly Scrum and Kanban, will be beneficial in managing your projects effectively.

In your response, detail your hands-on experience with EDI transactions, emphasizing the specific transaction sets you've worked with, such as 270/271 or 837. Highlight any instances where you successfully monitored, troubleshot, or optimized these transactions to demonstrate your expertise.

When answering, discuss your understanding of HIPAA regulations and how you have actively ensured compliance in your previous roles. Provide examples of monitoring practices or documentation you've maintained to adhere to these regulations while managing EDI transactions.

Share your systematic approach to troubleshooting EDI issues, including steps such as analyzing transaction logs, collaborating with internal teams, and assessing external partner communications. Explain how you prioritize issues and follow up until resolution.

Provide a specific example of how you identified a process inefficiency, elaborating on the steps you took to improve it, the challenges faced, and the outcomes achieved. This showcases your problem-solving skills and initiative in optimizing processes.

Express your familiarity with these tools and describe how you have utilized them in your previous roles. Mention specific functionalities you've leveraged and how they've assisted in managing projects or EDI transactions effectively.

Demonstrate your knowledge by naming specific transaction sets like 270/271 or 837 and explaining their purposes within the healthcare revenue cycle. Show your understanding of how these transaction sets facilitate communication between providers and payers.

Discuss your methods for staying informed about EDI standards and healthcare regulations, whether through continuous education, industry publications, or participating in professional networks. This indicates your commitment to remaining updated in the field.

In your answer, discuss how automation and AI can optimize EDI processes, such as reducing manual errors, improving processing times, and enhancing data analytics. Reference any experiences where you've implemented these technologies.

Highlight the importance of clear and effective communication in resolving EDI issues, collaborating with partners, and documenting processes. Provide examples of how you've successfully communicated complex technical information to non-technical stakeholders.

Articulate your motivation by mentioning Experian's commitment to innovation, its diverse workforce, and the opportunity to make a meaningful impact in healthcare. Align your career goals with the company’s mission and values.