EDI Operations Analyst – Encounters

Elevance Health

. Function as provider liaison for all electronic connectivity .

Posted 11/4/2026full-timeUnited StatesMid-LevelSenior💰 $23 - $39 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing and electronic data interchange (EDI) systems, with a strong focus on provider education and vendor collaboration. Proficient in analyzing business needs and implementing effective claims filing procedures.

Highest-signal resume keywords

Claims Encounters ExperienceElectronic Data Interchange (EDI)Claims Filing Procedures DevelopmentVendor Specifications CommunicationNetwork and Telecommunications Methodology

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Claims ProcessingResearch of ClaimsSystem Reports UnderstandingClaims Filing ProceduresProvider Enrollment

Soft Skills

Customer ServiceCommunicationAnalytical Thinking

Tools & Technologies

EDI SystemsConnectivity Solutions

Industry Keywords

Provider LiaisonVendor CollaborationTelecommunications Methodology

About the role

Key responsibilities & impact

Function as provider liaison for all electronic connectivity
Assist in developing or modifying claims filing procedures
Analyze business and client needs and requirements
Provide vendor specifications to vendors and clearing houses
Enroll providers for claims and encounter submission
Educate providers regarding EDI
Work with vendors on EDI system implementation and connectivity

Requirements

What you’ll need

HS diploma or equivalent
Any previous experience in claims or customer service; or any combination of education and experience providing an equivalent background
Ability to conduct detailed research of claims preferred
Understanding of system reports preferred
Understanding of network and telecommunications methodology preferred
Claims encounters experience strongly preferred
Must reside within a reasonable commuting distance from one of the posting locations unless an accommodation is granted as required by law

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) with match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Vaccination support/requirements for certain patient/member-facing roles