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Edi 837 Analyst Jobs in Indiana (NOW HIRING)

EDI Developer

Indianapolis, IN · On-site

$59.06/hr

This position will work with the project manager, software developers, business analysts, and ... Database knowledge * Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA ...

EDI Business Analyst Position Summary: The EDI Business Analyst is responsible for ensuring the efficient exchange of EDI data between the company, its customers, carriers, and suppliers. This role ...

This position will work with the project manager, software developers, business analysts, and ... Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA regulations * Ability to solve ...

The EDI Analyst will support the implementation and maintenance of Electronic Data Interchange (EDI) systems and processes, partnering with vendors, Accounting, Pricebook, and IT teams. This role ...

The EDI Coordinator is not yet independently building EDI files-that comes with the Analyst level-but they are developing the foundational knowledge, habits, and relationships that make a great EDI ...

The EDI Coordinator is not yet independently building EDI files --that comes with the Analyst level--but they are developing the foundational knowledge, habits, and relationships that make a great ...

.Net Developer

Indianapolis, IN · On-site

$46 - $61/hr

This position will work with the project manager, software developers, business analysts, and ... Database knowledge * Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA ...

$63K - $121K/yr

Summary We are looking for a data-driven Analyst II, Analytics to join our team. In this role, you will bridge the gap between raw data and business strategy by developing automated dashboards ...

The Data Analyst SME Contractor Support Lead will serve as the primary contractor technical authority for all data analysis activities, delivering actionable insights, developing analytical ...

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Edi 837 Analyst information

What are the key skills and qualifications needed to thrive as an EDI 837 analyst, and why are they important?

To thrive as an EDI 837 Analyst, you need expertise in healthcare EDI standards, particularly the 837 transaction set, and a solid understanding of HIPAA compliance and claims processing. Familiarity with EDI mapping tools, clearinghouse platforms, and data integration systems like X12, Sterling B2B Integrator, or similar is typically required. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for troubleshooting and collaborating with technical and business teams. These skills ensure accurate transmission of healthcare claims data, regulatory compliance, and seamless operations between providers and payers.

What is an EDI 837 analyst?

An EDI 837 Analyst is a professional who specializes in the management and analysis of Electronic Data Interchange (EDI) 837 transactions, which are used for electronically submitting healthcare claims to insurance payers. They ensure that claims are formatted correctly, transmitted securely, and comply with healthcare regulations such as HIPAA. Their responsibilities often include troubleshooting errors, mapping data, and collaborating with IT and billing departments to optimize claims processing. EDI 837 Analysts play a crucial role in ensuring timely and accurate reimbursement for healthcare providers.

How does an EDI 837 analyst typically collaborate with other departments within a healthcare organization?

An EDI 837 Analyst regularly works with multiple departments such as billing, IT, and compliance to ensure the seamless flow of healthcare claims data. They often serve as a bridge between technical teams and business users, translating requirements and troubleshooting issues related to electronic claims submission. Effective communication and problem-solving skills are essential, as analysts must coordinate claim corrections, resolve data discrepancies, and support system upgrades to maintain compliance with HIPAA and payer requirements. This collaborative approach helps ensure accuracy and efficiency in the claims process, benefiting both the organization and its partners.
What are popular job titles related to Edi 837 Analyst jobs in Indiana? For Edi 837 Analyst jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Edi 837 Analyst jobs in Indiana look for? The top searched job categories for Edi 837 Analyst jobs in Indiana are:
What cities in Indiana are hiring for Edi 837 Analyst jobs? Cities in Indiana with the most Edi 837 Analyst job openings:

EDI Developer

Apex Informatics

Indianapolis, IN • On-site

$59.06/hr

Other

Re-posted 28 days ago


Job description

JOB SUMMARY
The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.
Key Responsibilities
  • Review update all documentation related to claims processing and EDI transactions
  • Identify incompletely documented claims processing and EDI processes, and document them
  • Work with development team as a SME as IDOH's ACAPS system is rewritten in .Net
  • Act as liaison between OTC team and the Children's program area on claims processing issues
  • Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project's goals.
  • Write technical specifications based on conceptual design and stated business requirements.
  • Test new and existing systems
  • Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.
  • Provide helpdesk level support for EDI claim transactions.

o Provide support to healthcare providers who interact with IDOH's CSHCS system
o Assist in onboarding new providers
o Assist in onboarding new clearinghouses
  • Ability to work independently with less guidance and work with ISDH externals partners as needed.

Required Qualifications
  • Bachelor's Degree in Computer Science or related fields with IT experience
  • Database knowledge
  • Understanding EDI file formats (835, 837, 210)
  • Knowledge of HIPAA regulations
  • Ability to solve complex troubleshooting issues
  • Excellent verbal and written communication skills

Preferred Qualifications
  • Health Industry experience
  • Knowledge of IBM Websphere (WTX)
  • Database/SQL experience

Education/Experience
  • Bachelor's Degree in Computer Science or related fields with IT experience

Skill Matrix
Skill
Required / Desired
Years of Experience
Response
Bachelor's Degree in Computer Science or related fields with IT experience
Required
Database knowledge
Required
5 Years
Understanding EDI file formats (835, 837, 210)
Required
5 Years
Knowledge of HIPAA regulations
Required
Ability to solve complex troubleshooting issues
Required
Excellent verbal and written communication skills
Required
Health Industry experience
Highly desired
Knowledge of IBM Websphere (WTX)
Highly desired
Database/SQL experience
Highly desired
Compliance Requirements / Client Questions
Question
Description
Response
Question 1
Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you agree to this requirement?
Question 2
Please provide candidate's email address.
Question 3
Candidate must be local to Indianapolis. Please provide current home address.
Question 4
The candidate pay rate for this position is $59.06. The Provider Markup for this position is 35%. Do you agree to these requirements?
Question 5
Selected resource will be required to work onsite 3 days per week and 2 days remote. Please confirm the resource understands this requirement.
Question 6
Initial technical interview will be via Teams. Final interview will be via Teams or in person, per the request of the manager. Please confirm the resource understands the interview process.
Question 7
Position is expected to extend past 8/15/2026. Please confirm the resource understands this requirement.