Sr. Support Specialist EDI

Are you interested in harnessing technology and AI to transform healthcare?

At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.

We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

About the Role

We are seeking a Highly skilled Senior Support Specialist EDI to join our innovative team. In this pivotal role, you will lead the coordination with healthcare payers, manage claims submissions, and interpret payer reports to drive the efficiency and effectiveness of our EDI operations. The ideal candidate will possess extensive knowledge of EDI processes, exceptional analytical and communication skills, and a proven track record of collaboration across departments.

This position can be located at our offices in Charleston, SC or Dallas, TX.  

How you will make an impact:

In this role, you’ll:

• Lead the oversight of EDI file submissions to healthcare payers and manage the receipt and interpretation of payer reports, ensuring compliance with regulatory standards.
• Strategically update and maintain proprietary systems, enhancing accuracy and alignment with industry best practices.
• Analyze complex claim issues, including batch and claim rejects, and provide mentorship and guidance to junior team members in resolving these challenges.
• Monitor payer communications, ensuring timely and effective responses to inquiries and issues while fostering strong relationships with stakeholders.
• Maintain and enhance comprehensive documentation of EDI processes, updates, and best practices for continuous improvement.
• Collaborate with IT and cross-functional teams to identify, develop, and implement process improvements and system enhancements that drive operational efficiency.
• Facilitate training sessions and mentorship for entry-level staff and new hires, promoting a culture of knowledge sharing and professional development.

What you will bring to the team:  

We’re looking for someone with a growth mindset and a passion for learning. You might be a great fit if you:

• Possess exceptional analytical skills and problem-solving abilities, with a talent for troubleshooting complex issues and developing strategic solutions.
• Have outstanding communication and interpersonal skills, with a proven ability to facilitate collaboration across diverse teams and stakeholders. 
• Can manage multiple priorities, thrive in a fast-paced environment, and lead projects to successful completion.

Skills and experience you have: 

You don’t need to check every box. We will consider a combination of education and experience, including: 

Education & Experience 

• Bachelor’s degree in healthcare administration, information technology, or a related field is strongly preferred; advanced degrees or certifications are a plus.
• Minimum of 5 years of experience in EDI support or a similar role within the healthcare industry, with demonstrated leadership capabilities.
• Extensive knowledge of Medicare/Medicaid policies and EDI standards, with the ability to interpret and apply regulatory changes effectively.
• Proficient in MS Office applications (Word, Excel) and EDI-related software; experience with EDI integration and automation tools is a plus.

Why XiFin? 

We’re more than just a healthcare technology company—we’re a team that cares about people. 

Here’s a glimpse at what we offer: 

• Comprehensive health benefits including medical, dental, vision, and telehealth 
• 401(k) with company match and personalized financial coaching to support your financial future   
• Health Savings Account (HSA) with company contributions 
• Wellness incentives that reward your preventative healthcare activities 
• Tuition assistance to support your education and growth 
• Flexible time off and company-paid holidays 
• Social and fun events to build community at our locations! 

Pay Transparency 

At XiFin, we believe in pay transparency and fairness. The expected hourly salary range for this role is $17.00 to $25.00, based on your experience, skills, and geographic location. 

Accessibility & Accommodations 

We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2901.  

Equal Opportunity Employer 

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law. 

Ready to apply? 

We’d love to hear from you—even if you’re not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.