Business Analyst – Availity Experience

Job Title: Healthcare Business Analyst – Availity Portal Location: Remote Experience: 5–10+ Years Employment Type: Contract Domain: Healthcare Primary Skill: Availity Portal Job Summary We are looking for an experienced Healthcare Business Analyst with strong Availity Portal expertise to support payer-provider integrations, eligibility, claims, and authorization workflows. The role involves working closely with business and technical teams to enhance provider connectivity and operational efficiency. Key Responsibilities • Lead Availity Portal implementations and enhancements • Gather and document business & functional requirements, user stories, and acceptance criteria • Work with payers, providers, product, development, and QA teams • Support workflows: • Eligibility (270/271) • Claims (837/835) • Prior Authorisation (278) • Provider enrollment • Perform GAP, impact, and root cause analysis • Support UAT and production issues • Ensure compliance with HIPAA, CMS, and data security standards • Participate in Agile/Scrum ceremonies Required Skills & Experience • 5+ years of Healthcare Business Analyst experience • Strong experience with Availity Portal & payer-provider integrations • Good knowledge of EDI transactions (270/271, 276/277, 278, 834, 835, 837) • Strong understanding of Revenue Cycle Management (RCM) • Experience with JIRA, Confluence, Visio, Lucidchart, SQL (basic) • Excellent communication, documentation, and analytical skill