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EDI Operations Analyst

Waystar

Waystar

IT, Operations
Multiple locations
Posted on Friday, September 22, 2023

ABOUT THIS POSITION

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 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)

  • Excel

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.

ABOUT WAYSTAR

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.

WAYSTAR PERKS

  • 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.