Analyst I, Transaction Integrity

Analyst I, Transaction Integrity Job Code AITI.224.002 FLSA Status Exempt Job Family Transaction Integrity Cost Center 224 Purpose of Position Performs transaction verification, payer report analysis, missing remit research, validation testing, edit testing, and X12 specification testing. Analyzes routine issues and supports resolution activities while using approved automation and AI-assisted tools under guidance to improve quality, accuracy, and operational efficiency. Duties and Responsibilities Essential Functions Verifies successful EDI transaction submissions using payer acknowledgement reports. Researches missing acknowledgements, remittance retrieval issues, balancing discrepancies, and missing remits; documents findings, follow-up activities, and resolution evidence. Analyzes payer reports and communicates with payer connections and internal teams to support timely issue resolution. Executes validation, edit, and X12 specification test cases; compares expected and actual results and documents defects, evidence, discrepancies, and issue status. Collaborates in enhancement planning and continuous improvement initiatives; maintains accurate work-item tracking and documentation and supports timely delivery of transaction integrity, testing, and quality objectives. Uses approved automation and AI-assisted tools under guidance to support research, testing, analysis, and documentation; validates outputs before use. Identifies recurring issues and potential automation opportunities, escalates findings to management, and cross-trains across quality assurance, verification, payer analysis, remit research, edit testing, and X12 specification testing. Acts as a positive role model and observes safety procedures and personnel policies. Marginal Functions Other duties as needed. Skills, Knowledge, and Abilities Strong proficiency with Microsoft Office applications, combined with the ability to rapidly learn, adapt to, and effectively utilize emerging technologies, automation solutions, AI-assisted tools, and business applications. Knowledge of healthcare EDI transactions, including 837 transactions, payer acknowledgements, and related transaction workflows. Ability to analyze transaction outcomes, validation results, operational data, and automated outputs to identify issues, trends, risks, and control gaps. Ability to apply approved automation and AI-assisted tools to improve research, testing, analysis, documentation, and operational efficiency while maintaining accuracy, security, privacy, traceability, and appropriate human oversight. Strong organizational, analytical, problem-solving, prioritization, written communication, and verbal communication skills. Ability to work independently, adapt to changing priorities, and collaborate effectively across functional areas. Strong proficiency with Microsoft Office applications, combined with the ability to rapidly learn, adapt to, and effectively utilize emerging technologies, automation solutions, AI-assisted tools, and business applications. Knowledge of healthcare EDI transactions, including 837 transactions, payer acknowledgements, and related transaction workflows. Must be able to see clearly with or without corrective lenses and hear clearly with or without aids. Must be able to use hands, fingers and wrists, repetitively, using a computer keyboard and other office equipment, regularly. Must be able to proficiently speak, read and write in English. Information Security and Data Protection The SSI Security-First Mindset Information security and data protection is a shared responsibility – codified in our commitment to the SSI Security-First Mindset. The SSI Security-First Mindset is comprised of five pillars and universally applicable to all employees, regardless of position description, assigned duties and responsibilities. The Five Pillars of the SSI Security-First Mindset: Pillar 1: Governance: Develop, implement, and enforce secure operational processes, procedures, and routines. Pillar 2: Accountability: Take an active role in protecting company assets and system & data resources. Pillar 3: Awareness: Recognize, report, and take action to resolve security risks. Pillar 4: Preparedness: Develop, implement, test, and improve backup plans for operational processes, procedures, and routines. Pillar 5: Collaboration: Communicate, share, and promote your Security-First Mindset at every opportunity. Experience and Education Requirements Education Min/Preferred Education Level Description Minimum High School or GED High School Diploma or GED required. Preferred Associate or Bachelor’s Degree Associate or Bachelor’s Degree in Computer Science, Health Information Systems, Software Development, Information Technology, or a related field preferred but not required. Years of Experience Minimum Years of Experience Comments 0-2 years 0-2 years of experience in software development, technical support, healthcare operations, EDI, or a related field. Relevant coursework, internship experience, or equivalent practical experience is acceptable. Certifications Min/Preferred Certification Description Minimum A combination of experience and advanced education may be substituted. Background checks and drug test required. Acknowledgement I have read and understand this job description and agree that I am able to fulfill the essential functions as stated above. I further understand that it is my responsibility to request an accommodation, if necessary, to fulfill the essential functions of this position. Employee's Signature Date __________________________________ ______________________ Supervisor Signature Date __________________________________ ______________________