EDI Medical Claims Specialist
KabaFusion
KabaFusion is seeking an EDI Medical Claims Coordinator in Cerritos, CA. You will monitor the EDI system (Waystar), resolve rejected claim submissions with providers and payors, and ensure accurate adjudication of claims. This role emphasizes cross-functional collaboration and attention to regulatory details. Ideal candidates will have a bachelor’s degree in a related field and at least 1 year of revenue cycle experience in healthcare, with strong Excel skills and solid communication abilities. #J-18808-Ljbffr KabaFusion
$150k - $190k
...reliable Python services, and power mission-critical workflows such as claims processing, eligibility ingestion, episode creation, provider... ...an ownership-driven mindset* Bonus: experience with healthcare EDI (837/834), claims processing, HIPAA, or payer systemsWhy This...EDI- ...seeking a Healthcare Business Analyst to support eligibility and claims processes, focusing on Availity transactions. The ideal... ...include conducting workflow analysis and ensuring compliance with EDI standards. The role requires effective collaboration with various...EDI
- ...Job Description Job Description The Claims Clerk Supervisor leads the daily clerical... ...environment built on electronic claim intake (EDI 837), electronic remittance (835),... ...including separation and scanning of multiple medical records (Mult MR), and use of OCR/...EDIFlexible hours
- ...an Order Management professional to ensure timely and accurate order execution. This role involves managing sales orders, processing EDI tasks, and collaborating with various teams to meet customer requirements. Candidates should have 1-2 years of experience in sales order...EDI
- ...a Healthcare Business Analyst to support eligibility, benefits, claims, and provider data exchange initiatives. The ideal candidate will... ...transaction‑level exceptions for accuracy and compliance with EDI standards. Support implementation, enhancement, and optimization...EDI
- ...Job Description Accounts Receivable Specialist National Retail Accounts & Chargeback... ...candidate has direct experience working with EDI-based retailers and understands the operational... ...of each deduction — including shortage claims, compliance violations (routing, labeling...EDIFull timeWork at office
- ...external ordering, e-commerce, CRM or third-party systems using IDoc, EDI or middleware platforms; monitor and resolve interface issues,... ...00.00Bonus target range: 25%Generous benefits package including medical, dental, vision, life, disabilityA company culture that...EDIFlexible hours
- A leading grocery chain in California is seeking a Permanent Claims Specialist to manage and resolve claims effectively. The ideal candidate... ...offers competitive salary and comprehensive benefits, including medical, dental, vision, and retirement plans. If you are passionate...Permanent employmentFull time
- ...systems for order status and/or revisions Advise Production & Purchasing Department of Sales Order changes affecting Production progress EDI duties include: item translations, editing incoming PO’s for accuracy, posting (if applicable) Work with Account Manager/Sales Rep...EDIFor contractorsLocal area
- A leading staffing agency is seeking an experienced Site Logistics Operator to manage claims processing in Cerritos, CA. The ideal candidate has 2-5 years of experience in claims processing, particularly with Medicare and Medicaid claims. Responsibilities include analyzing...
- ...Job Description Job Description Why do EDI Medical Claims Coordinators want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn’t matter what your role is, you will be part of a team that...EDITemporary work
$123k - $163k
...ownership-oriented attitude ~ Bonus: background in healthcare EDI (837/834), claims processing, HIPAA compliance, or payer systems... ...services. We provide a comprehensive benefits package, including medical, dental, and vision insurance, health savings accounts, 401(...EDIFull time$70.3k - $75k
...Bunzl Safety Division is seeking a highly skilled and motivated EDI Coordinator responsible for the coordination, maintenance, and... ...themselves and their families-today, tomorrow, and into the future. ~ Medical, Dental & Vision Benefits effective the 1 st day of the month...EDI$75k - $80k
...Jobot logo and follow LinkedIn page! Job details Workers’ comp claim Specialist for a grocery chain in the OC! Drive compliance,... ...Supermarket culture within the grocery industry. Why join us? Medical, Dental, Vision, and Life Insurance. 401 (k) Retirement Saving...Permanent employmentFull timeWork at officeImmediate start$70k - $76k
...our team today. Benefits: ~ Benefits package including medical, dental, vision, HSA, and medical reimbursement ~ Annual bonus... ...carriers, routing guides, compliance requirements, labeling, ASN/EDI expectations, and customer-specific fulfillment requirements...EDIHourly payTemporary workWork at officeLocal areaShift work- ...Suite and enterprise applications, including EDI transactions, APIs, reporting platforms,... ...workflows—including eligibility, claims, authorizations, provider management, and... ...healthcare operations within an HMO, MSO, IPA, Medical Group, or Health Plan environment,...EDIFlexible hours
$70k - $75k
...Collaborate with software developers and integration teams on API, EDI, ERP, WMS, GPS, telematics, and customer connectivity projects.... ...skills. #ZR Salary Description $70k - $75k/yr BENEFITS Medical insurance Dental insurance Vision insurance Paid Time Off #J...EDILive inLocal area$28 - $30 per hour
...about the company and brands. The Key Account Management Specialist is responsible for processing and managing customer orders efficiently... ...in compliance with company policies. Experience with EDI using customer portal for order management. Collaborate with...EDIHourly payFull timeWork at officeRemote work$20.57 - $26.48 per hour
...Base Software Experience ~ Oracle ~ Electronic Data Interface (EDI) ~ Demonstrated success with National Account Partners... ...'s What We'll Bring Comprehensive benefits package including Medical, Vision, Dental, LTD, Life-Insurance and 401k with match AND automatic...EDIWork at office$150k - $170k
...Portal/Website project/enhancement delivery ~ Data warehouse ~ EDI/API ~ ERP, TMS (CargoWise) ~ Bilingual in English and... ...Holidays, Sick/Flex time. ~ Full Health Insurance coverage including medical, dental, vision, term life, and accident insurance. ~401K...EDIWork from homeFlexible hoursShift work1 day per week- ...C and B2B. Qualifications Well-developed written and verbal communication skills in English and Japanese. Experience in working with EDI feed and logistics companies. Exercise independent judgment and basic reasoning skills. Work independently with minimal supervision and...EDI
- ...Microsoft Excel and transportation systems (TMS).Excellent communication, multitasking, and problem-solving skills.Preferred:Knowledge of EDI processes, carrier portals, and digital visibility tools (FourKites, Project44, etc.).Familiarity with regional carrier networks and...EDI
- ...patient care technician provides direct care to patients, assisting with daily activities, monitoring vital signs, and supporting the medical team to ensure patient comfort and well-being. Highlights : Complete in as short as a few weeks to a few months Online and...
- BioLife Plasma Services in Lakewood, CA is seeking a Medical Support Specialist to support plasma center operations. You will determine donor eligibility, manage donor safety events, review lab results, and notify donors of unsuitable results. You will work under the Center...Work at office
- ...will have the following responsibility and qualifications. Major Responsibilities And Key Accountabilities: Enter and maintain EDI documents. Perform audits of EDI documents across the various systems used. Enter and maintain sales orders. Track and verify...EDI
$25 - $32 per hour
...Accredited High School diploma, general education development ("GED") credential, or equivalent Comfortable around blood, needles, and medical equipment Physically able to work long shifts on your feet Willing to float between local clinics if needed Flexible schedule...Minimum wageLocal areaFlexible hoursShift workDay shiftAfternoon shift- ...information under the direction of the HIM Director or designated supervisor. This position is responsible for coordinating physician medical record completion and the quantitative analysis of all medical record patient types based upon standards established by Title 22,...Temporary workWork at office
$70k - $85k
...Risk Adjustment Coding Specialist II Department: Quality - Risk Adjustment Employment Type... ...provider documentation of diagnostic data from medical records to verify that all Medicare... ...identify, assess, monitor, and document claims and encounter coding information as it...Full timeWork at officeRemote workHome office- ...-making Support vendor analysis, pricing trends, and cost-saving initiatives Maintain and utilize the MMIS system (Oracle) and EDI trading partner data Support continuous improvement initiatives and departmental process enhancements Collaborate with supply chain...EDIFull timeContract workImmediate startRemote work
- ...communication skills in English and Japanese. Proficiency in MS Office (Word, Excel, Outlook, PowerPoint, etc.). Experience in working with EDI feed and logistics companies. Must be detail-oriented and well organized. Exercise independent judgment and basic reasoning skills....EDI
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