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Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.
We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. We are seeking an Analyst I to join our fastpaced, collaborative team responsible for ensuring the accurate and timely processing of healthcare claim responses. In this role, you'll investigate missing claim acknowledgments, monitor system dashboards for payer issues, and resolve highvolume tickets through Jira to prevent downstream delays for our customers. This position is ideal for someone with healthcare X12 experience, strong attention to detail, and the ability to adapt quickly while contributing to a highly supportive and teamoriented environment. To be qualified for this role you have:
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 * 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 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.
What you'll do:
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 checkins. 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 problemsolving 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.
Availity culture and benefits:
Availity is a certified "Great Place to Work"! Culture is important to us and there are many ways for you to make your mark here! We have several Culture teams, a Young Professionals Group, and various ways to engage with fellow Availity associates - if you're near Jacksonville, we have lots of pop up lunches where lunch is provided for everyone when we can see meetings are taking place and we've got teams in the office. Availity is a culture of continuous learning. We have many resources and experts in our tech stack, our industry and your function that can help get you there too! We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one! We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits. Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. Interested in furthering your education? We offer education reimbursement! Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.
Next steps:
After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.
Interview process:
#LI-NA1 Video Camera Usage: Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. Disclaimers: Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at http://www.dhs.gov/e-verify. Click the links below to view Federal Employment Notices. Family& Medical LeaveAct Equal Employment Law PosterPay TransparencyEmployee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers
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AVAILITY
parental leave, paid holidays, tuition reimbursement, 401(k)
Feb 07, 2026