EDI Reconciliation Data Analyst

Who we are:

Integrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services. Through our select network of Medicare and Medicaid Certified and Accredited providers, we are available 24/7 to meet the needs of our patients with compassion, expertise, and excellence.

For more than 30 years, we have been dedicated to improving lives by delivering the highest quality in-home care services. As a trusted market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services, we proudly serve more than 2 million lives across the United States and the Commonwealth of Puerto Rico. Our integrated care model is trusted by leading Managed Care Organizations (MCOs), physicians, and healthcare partners because of our commitment to exceptional patient outcomes and coordinated care.

At IHCS, our patients are at the heart of everything we do. We believe in creating a culture built on compassion, integrity, collaboration, and innovation. Every team member plays a vital role in fulfilling our mission of enhancing the quality of life for those we serve through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

If you are passionate about making a meaningful impact, thrive in a collaborative environment, and are committed to excellence, we invite you to join our growing team. Together, we can continue transforming home healthcare while making a difference in the lives of our patients and the communities we serve.

Join IHCS where our patients are #1, and our people make the difference. Apply today!

Offering a competitive compensation package, including but not limited to;

• Medical, Vision, Dental, Short- and Long-term insurance
• 6+ Days of Holidays Pay
• 17 days of PTO
• Employer paid life insurance
• 401K with employer contribution
• Wellness program with reward incentives
• Employee recognition and reward programs
• Comprehensive paid training program

What will you be doing:

We are seeking a highly motivated and detail-oriented EDI X12 Claims and Enrollment Reconciliation Data Analyst to join our dynamic team. In this role, you will be responsible for ensuring the accuracy and integrity of electronic data interchange (EDI) X12 transactions related to both claims and enrollment processes. The ideal candidate will possess strong analytical skills, a comprehensive understanding of healthcare claims and enrollment workflows, and expertise in EDI standards.

Essential competencies include:

Production Support, Business Analysis, Project Management

What will you need to succeed:

• 5 years with healthcare related EDI transaction experience; recent in-depth knowledge and experience of the 5010 837 (incoming claims & outgoing encounters), 834, 835, 270/271 and 999/277CA acknowledgement transactions.
• 2 – 3 years of client facing and engagement with external customers
• Experienced knowledge with SQL queries
• Ability to analyze business systems, networking configurations, and data storage facilities.
• Ability to build customized data interchange systems for cross-company or department use.
• Knowledge of testing and debugging the system.
• Ability to gather user feedback on the accuracy, efficiency, and functionality of the system and deploying completed systems and providing maintenance support
• Experience training end-users on the proper use of the system.
• Resourcefulness and problem-solving aptitude
• Ability multitask in a fast pace environment
• Strong communication skills both written and verbal

Join our team as we strive for excellence through teamwork, where our patients are #1!

IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.