Senior Billing EDI Analyst

Job description

Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our unparalleled science, data, technology and laboratory network, we advance diagnostics, accelerate innovation and help address some of the world’s most important health challenges. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. With our global scale and deep expertise, you’ll have the opportunity to do meaningful work, grow your career and make a real impact on people’s health around the world. Together, we’re improving health and improving lives. Labcorp is seeking a Senior Billing EDI Analyst located in Burlington, NC or Durham, NC. Work Schedule Full-time, standard business hours with additional hours as needed to support business initiatives and project deliverables. Work Location This hybrid position offers a balanced schedule of three in-office workdays at our Burlington or Durham, NC locations and two remote workdays per week, supporting both collaboration and flexibility. Job Responsibilities EDI Operations & Issue Resolution Review, monitor, and analyze healthcare EDI transactions to ensure timely and accurate processing. Investigate and resolve complex EDI transmission, mapping, eligibility, claim status, remittance, and payment-related issues. Perform root cause analysis and implement corrective actions for recurring transaction failures and processing exceptions. Serve as a primary escalation point for EDI-related operational issues and inquiries. Coordinate issue resolution activities with payers, vendors, clearinghouses, IT teams, billing operations, and revenue cycle stakeholders. Data Analysis & Process Improvement Conduct data analysis, validation, and reconciliation activities using reporting and analytics tools. Monitor, track, and report EDI operational performance metrics and exception trends. Identify transaction processing inefficiencies and recommend workflow improvements to increase transaction accuracy and operational effectiveness. Support revenue cycle optimization initiatives through analysis of EDI transaction performance and exception data. Testing, Documentation & Project Support Lead testing and validation activities for EDI implementations, payer onboarding, payer changes, system enhancements, and platform upgrades. Create and maintain standard operating procedures (SOPs), workflows, process documentation, and training materials. Support payer integrations, clearinghouse integrations, EDI enhancement initiatives, and revenue cycle projects. Provide project updates, testing results, and operational reporting to leadership and stakeholders. Team Support Mentor EDI Analyst I team members on transaction troubleshooting, issue resolution processes, and healthcare EDI workflows. Provide subject matter expertise for complex transaction processing, issue investigation, and operational support activities. Minimum Qualifications Bachelor's degree with 5 or more years of direct healthcare analytical experience analyzing operational data, transaction data, reporting outputs, or business process performance metrics within a healthcare environment. AND 3 or more years of direct experience supporting healthcare billing EDI processes, transactions, implementations or operations OR Associate’s degree with 7 or more years of direct healthcare analytical experience analyzing operational data, transaction data, reporting outputs, or business process performance metrics within a healthcare environment. AND 5 or more years of direct experience supporting healthcare billing EDI processes, transactions, implementations or operations OR High School Diploma with 9 or more years of direct healthcare analytical experience analyzing operational data, transaction data, reporting outputs, or business process performance metrics within a healthcare environment. AND 7 or more years of direct experience supporting healthcare billing EDI processes, transactions, implementations or operations. Preferred Qualifications Associate degree or higher in Health Information Management, Healthcare Administration, Information Systems, Business Administration, Computer Science, or healthcare-related field. 3 or more years of experience supporting healthcare EDI transaction processing in a healthcare provider, payer, laboratory, revenue cycle management, or healthcare technology environment. 3 or more years of experience working with HIPAA X12 transactions including claims (837), remittance advice (835), eligibility (270/271), claim status (276/277), and acknowledgment transactions (999/277CA). 2 or more years of experience performing root cause analysis for EDI transaction failures, claim rejections, payment exceptions, eligibility issues, or transaction processing errors. 2 or more years of experience leading testing and validation activities for EDI implementations, payer onboarding initiatives, platform upgrades, payer changes, or system enhancements. 2 or more years of experience supporting payer integrations, clearinghouse integrations, revenue cycle optimization projects, or EDI enhancement initiatives. 1 or more years of experience mentoring team members on EDI operations, transaction troubleshooting, healthcare claims workflows, or issue resolution processes. 1 or more years of experience using SQL, business intelligence tools, healthcare analytics platforms, reporting tools, or data visualization solutions. Additional Job Standards Demonstrate effective verbal and written communication when interacting with business partners, vendors, payers, clearinghouses, and internal stakeholders. Collaborate with IT, billing, operations, revenue cycle, compliance, and vendor teams to resolve issues and support strategic initiatives. Prioritize multiple concurrent assignments while meeting established service levels and project deadlines. Apply analytical problem-solving approaches to investigate transaction exceptions, identify trends, and support operational improvements. Provide guidance and operational support to team members regarding EDI processes, workflows, and troubleshooting methodologies. Maintain attention to detail when reviewing transaction data, testing results, operational metrics, system outputs, and process documentation. Support continuous improvement initiatives that enhance transaction accuracy, operational efficiency, and stakeholder satisfaction. About the Role The Senior Billing EDI Analyst serves as an experienced individual contributor responsible for managing complex healthcare EDI operations, resolving escalated transaction-related issues, and supporting strategic revenue cycle initiatives. This role reviews and analyzes healthcare EDI transactions, investigates transaction failures, performs root cause analysis, and leads testing and validation efforts related to payer onboarding, system enhancements, and EDI implementations. The position partners with payers, vendors, clearinghouses, IT teams, billing operations, and revenue cycle stakeholders to improve transaction accuracy, optimize operational processes, and promote successful EDI processing across the organization. As a subject matter resource, the Senior Billing EDI Analyst supports team development, process standardization, and ongoing EDI enhancement initiatives. Application Window Closes: September 5, 2026 All job offers are based on a candidate's skills, prior relevant experience, applicable degrees and certifications, internal equity, and market data. Benefits Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here . Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. 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