Availity · 17 hours ago
Analyst I
United States
Full-time
Remote
Entry Level
1+ years expAvaility, LLC. is a pioneering healthcare technology company dedicated to transforming the future of healthcare. They are seeking an Analyst I to ensure the accurate and timely processing of healthcare claim responses, investigating missing claim acknowledgments and resolving high-volume tickets to prevent delays for customers.
FitnessHealth CareHospital
Responsibilities
Investigate missing claim responses (MCRs) by researching loops, segments, and X12 transaction details to determine why payers have not acknowledged claims
Monitor dashboards to identify trends and proactively troubleshoot potential issues before they impact customers
Manage and resolve a high volume of Jira tickets, ensuring timely and accurate handling of assigned cases
Review, analyze, and clear -999 batch responses, identifying root causes related to edits, enrichments, system errors, or customer data issues
Communicate with receivers and payers primarily via email to gather information, clarify discrepancies, and resolve processing issues, with occasional live calls when necessary
Collaborate closely with internal teams, including SMEs and peers, to escalate issues and obtain guidance during daily huddles and weekly check‑ins
Utilizes Availity tools including JIRA, Confluence and Salesforce to track issues and progress of assigned tasks
Maintain accurate and thorough documentation within cases to ensure continuity, compliance, and visibility of work performed
Adapt to shifting priorities throughout the day as work moves between MCRs, case queues, -999s, and other system-generated alerts
Apply critical thinking and problem‑solving skills when troubleshooting anomalies in transactions and proactively preventing downstream claim delays
Participate in ongoing training and learning opportunities to deepen system knowledge and stay current with process updates
Qualification
Required
Associate's degree or equivalent work experience
One year of experience in a similar analyst role within the healthcare space. Healthcare background is required to be considered for this role
Experience with Submitters, Vendors and/or Receivers/Payers
Strong familiarity with X12/EDI transactions; specifically 837P, 837I, 835, 270/271, 276/277, 278
Customer service and/or relationship management experience
Strong written and verbal communication skills
Ability to effectively manage multiple priorities in a fast paced environment
Ability to work independently with minimal guidance. Focus on accountability for issue resolution
Preferred
Experience with system and/or software monitoring applications a plus
Experience with ticketing systems such as Jira and/or Salesforce
Experience with Availity systems and processes a plus
Familiarity with test plans and concepts
Understanding of HIPAA implementation guides for claims and other transactions
Working knowledge of ANSI code sets a plus
Benefits
Competitive salary
Bonus structure
Generous HSA company contribution
Healthcare
Vision
Dental benefits
401k match program
Unlimited PTO for salaried associates + 9 paid holidays
19 days of PTO for hourly associates
Reimburse up to $250/year for gym memberships
Education reimbursement
Paid Parental Leave for both moms and dads
Company
Availity
Availity offers a free access to real-time information and instant responses for healthcare professionals.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$200MKey Investors
Novo HoldingsFrancisco Partners
2021-07-07Secondary Market
2017-10-19Private Equity· $200M
Leadership Team
Russ Thomas
Chief Executive Officer
Frank Petito
Chief Financial Officer
Recent News
2026-02-06
2026-01-16
2026-01-16
Company data provided by crunchbase