Senior Billing EDI Analyst

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.

• 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.

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…