Associate Clearinghouse Business Operations Analyst (Real-Time)

About Us

At Office Ally, we’ve been revolutionizing healthcare administration since our inception. What started as a clearinghouse focused on simplifying insurance claims processing for healthcare providers has grown into a full-suite healthcare technology company. We offer a range of affordable, cloud-based solutions, from practice management to electronic health records (EHR), helping providers streamline their operations and reduce administrative burdens. With our freemium model, we provide free practice management software and cost-effective EHR solutions, allowing providers—whether solo practitioners or large groups—to focus on what matters most: patient care.

At the core of our company are four key values that guide our mission and work:

• Ownership: We take pride in our responsibilities, driving results and taking accountability for the success of our projects.

• Empowerment: We believe in giving our team the autonomy and support to make decisions that lead to innovative solutions.

• Innovation: We continuously seek new and better ways to improve healthcare administration, embracing creativity and forward-thinking technology.

• Transparent Communication: Open, honest communication is at the heart of our collaborations—internally and with our clients—ensuring alignment and trust.

About the Role

We’re looking for an Associate Clearinghouse Business Analyst to join our team. In this role, you will be responsible for analyzing, designing, and optimizing business processes related to healthcare EDI transactions. You’ll collaborate with internal teams and external vendors to ensure accurate and efficient processing of transactions, including eligibility verification (270/271), claim status (276/277), and other healthcare-related transactions. Acting as a bridge between technical teams, business users, and external partners, you’ll ensure workflows align with regulatory standards and organizational goals.

What You’ll Do

• Oversee the setup, testing, and ongoing operations of real-time EDI transactions

• Troubleshoot issues with rejected or failed transactions

• Gather, document, and analyze business requirements for EDI solutions, ensuring alignment with industry standards and business objectives

• Collaborate with stakeholders to map business needs to EDI transaction workflows

• Ensure compliance with HIPAA and other regulatory requirements for healthcare data and EDI transactions

• Stay up to date with ANSI X12 standards and other industry guidelines

• Assist with test case design and execution for implementations, upgrades, or changes

• Troubleshoot EDI-related issues and partner with technical teams to resolve them

• Communicate business requirements to technical teams and translate technical specifications for business users

• Partner with vendors and external stakeholders to ensure proper integration of EDI transactions

• Document processes, workflows, and system requirements for EDI transactions

• Prepare and deliver reports on transaction volumes, issues, and resolutions

What You’ll Need

• 2+ years of experience in healthcare EDI operations, business analysis, or related role

• Experience with healthcare EDI transactions and processes

• Strong written and verbal communication skills

• Ability to work independently and manage multiple tasks simultaneously

• Proven success collaborating across cross-functional teams

• Strong track record of identifying challenges, interpreting data, and making informed decisions in fast-paced environment 

Nice to Have

• Experience working with an EDI clearinghouse or a claim adjudication system

• Background in health technology or healthcare SaaS environments

• Bachelor’s degree in Business, IT, or Healthcare Informatics with up to 2 years of relevant experience

Additional Requirements

• Travel: Up to 10%

• Language Skills: Ability to clearly communicate complex technical and business concepts

• Mathematical Skills: Proficient in percentages, variances, and basic statistical indicators

• Computer Skills: Proficiency with Microsoft 365 or Google Workspace; familiarity with project or data analytics platforms preferred

• Reasoning Ability: Able to identify problems, collect data, establish facts, and draw valid conclusions in a fast-paced setting

• Work Environment: Predominantly office-based with extended computer use; noise level is generally moderate

The Perks

• Flexible Work Options – Remote work and flexible scheduling

• Health & Wellness Coverage – Comprehensive medical, dental, and vision plans, plus supplemental options

• Income Protection – Company-paid short- and long-term disability insurance

• 401(k) with Company Match – Up to 6% employer match

• Career Growth & Learning – Professional certifications, training, and skill-building programs

• Team-First Culture – Collaborative, supportive environment where your contributions matter

• Generous PTO – Time off to support your well-being and work-life balance

Why You’ll Love Working at Office Ally

As an Associate Clearinghouse Business Analyst, your work will have a direct impact on ensuring the smooth flow of healthcare transactions across providers, payers, and partners. You’ll play a key role in connecting business and technology, driving compliance, and ensuring accurate, efficient transaction processing—all while helping healthcare providers focus on what matters most: patient care.

EEO Note

Office Ally is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, color, disability, gender, national origin, race, religion, sexual orientation, veteran status, or any classification protected by federal, state, or local law.