Availity

Analyst I – Receiver Configuration

Availity

full-time

Posted on:

Location Type: Remote

Location: United States

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Job Level

Junior

About the role

  • Investigate missing claim responses (MCRs) by researching loops, segments, and X12 transaction details
  • Monitor dashboards to identify trends and proactively troubleshoot potential issues
  • Manage and resolve a high volume of Jira tickets
  • Review, analyze, and clear -999 batch responses
  • Communicate with receivers and payers primarily via email
  • Collaborate closely with internal teams
  • Maintain accurate and thorough documentation within cases
  • Adapt to shifting priorities throughout the day
  • Apply critical thinking and problem-solving skills

Requirements

  • Associate’s degree or equivalent work experience
  • One year of experience in a similar analyst role within the healthcare space
  • Healthcare background is required
  • Strong familiarity with X12/EDI transactions; specifically 837P, 837I, 835, 270/271, 276/277, 278
  • Customer service and/or relationship management experience
  • Experience with system and/or software monitoring applications a plus
  • Experience with ticketing systems such as Jira and/or Salesforce
  • Familiarity with test plans and concepts
  • Understanding of HIPAA implementation guides for claims and other transactions
  • Working knowledge of ANSI code sets a plus
  • Strong written and verbal communication skills
  • Ability to effectively manage multiple priorities in a fast-paced environment
  • Ability to work independently with minimal guidance
Benefits
  • Competitive salary
  • Unlimited PTO for salaried associates + 9 paid holidays
  • 19 days of PTO for hourly associates
  • Health insurance
  • Vision and dental benefits
  • 401k match program from day one
  • Education reimbursement
  • Paid Parental Leave for both mothers and fathers
  • Wellness reimbursement up to $250/year for gym memberships and wellness programs
  • Community service opportunities
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
X12 transactionsEDI transactions837P837I835270271276277278
Soft Skills
critical thinkingproblem-solvingcommunicationcustomer servicerelationship managementadaptabilitytime managementindependencecollaborationdocumentation
Certifications
Associate’s degree