Manager Electronic Healthcare Data

Job Title: Electronic Healthcare Data Manager

Location: Remote
Job Type: Full-Time
Department: Revenue Cycle Management
Reports to: Director of Contract Configuration

Job Summary:

We are seeking an experienced Electronic Healthcare Data Manager to oversee the day-to-day operations of a team of analysts supporting EDI, ERA, and related clearinghouse processes including enrollments, patient statements and healthcare data exchange. This role combines technical expertise in electronic transaction processing with leadership responsibilities to ensure the accurate and timely flow of claims, remittances, and other healthcare transactions between payers, providers, and internal systems.

Key Responsibilities:

Lead and mentor a team of EDI/ERA analysts responsible for managing electronic transactions (837, 835, 270/271, etc.).

Oversee configuration, monitoring, and maintenance of EDI transactions and ERA posting systems within the healthcare revenue cycle.

Ensure successful transmission and reconciliation of electronic claims and remittance advice files.

Serve as a subject matter expert for HIPAA-compliant EDI standards (X12 formats) and healthcare billing workflows.

Troubleshoot EDI/ERA issues, analyze file errors or rejections, and coordinate resolution with clearinghouses, payers, and internal teams.

Collaborate with IT and billing teams to implement new payer connections, manage EDI enrollment, and maintaintrading partner relationships.

Monitor daily EDI/ERA transaction logs and system queues to ensure timelyprocessing.

Document workflows, procedures, and business rules related to EDI/ERA operations.

Participate in system upgrades, testing, and optimization projects for EDI platforms and practice management systems.

Oversee configuration, monitoring, and maintenanceof patient statements,EDI transactions,and ERA posting systems within the healthcare revenue cycle.

Document workflows, procedures, and business rules related to Patient Statements.

Collaborate with IT, RCMand Practices to implement new payer connections, manage EDI enrollment, and maintainthird party vendor relationships.

Generate operational reports and performance metrics; provide insight to leadership and stakeholders.

Qualifications:

Required:


5+ years of healthcare administrationexperience, including EDI/ERA experience with solid knowledge of HIPAA transaction sets (especially 837/835).

2+ years of experience in leadershipor supervisory capacity.

Familiarity with clearinghouses (e.g., Trizetto, Change Healthcare, Availity, Office Ally) and payer portals.

Experience with revenue cycle systems (e.g., Epic, Cerner, NextGen, Athena, eClinicalWorks, etc.).

Strong problem-solving, analytical, and communication skills.

Ability to train and develop team members.


Preferred:

Proficient in Microsoft Excel and billing systems (e.g., Acuity Logic (Eyefinity), Compulink, RevCycle)

Knowledge of CPT, ICD-10, and HCPCS coding (for identifyingposting errors)

Knowledge ofTriZetto, InstaMed,Availity, Change Healthcare, etc.