EDI Operations Analyst
ABOUT THIS POSITIONThe 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 DO
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 YOU'LL NEED
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)
ABOUT THE TEAM
The Client Operations, Clearinghouse + Payment Operations, and Business Transformation team at Waystar builds brand loyalty and ensures solution adoption and client success. From resolving concerns to maintaining positive relationships, the team works directly with clients to provide resources and tools to help achieve their healthcare revenue cycle goals. The team is split into two divisions: Health Systems + Hospitals (HS+H) and Ambulatory. The Health Systems + Hospitals division includes large health systems at a multi-level local or national scale. The Ambulatory division includes organizations such as provider groups and physician and specialty practices.
Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle.
Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful,
Waystar products have won multiple Best in KLAS® or Category Leader awards 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.
- Competitive total rewards (base salary + bonus, if applicable)
- Customizable benefits package (3 medical plans with Health Saving Account company match)
- Generous paid time off starting at 3 weeks + 16 holidays, including your birthday and volunteer time
- Paid parental leave (including maternity + paternity leave)
- Education assistance opportunities and free LinkedIn Learning access
- Free mental health and family planning programs, including adoption assistance and fertility support
- 401(K) program with company match
- Pet insurance
- Employee resource groups
Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.