Healthcare Enrollment & EDI Gateway Specialist
Independence Blue Cross
Independence Blue Cross seeks an enrollment operations specialist to manage manual enrollment updates, review CMS files, and coordinate data flows through health information systems. The role requires experience with enrollment processes, EDI, and strong communication within a fast-paced healthcare environment. Applicants should have a BA/BS in a business-related field (or equivalent) and 2–3 years of healthcare experience. #J-18808-Ljbffr Independence Blue Cross
$23 - $31 per hour
## Reimbursement Specialist IIApply: Remote-USA-TX: Spring, TX: Full time: Posted Today: R-101247**Company Description**Guardant Health... ...including Excel* Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals and national as well as...EDIFull timeRemote workWork from home- University of Utah Health Plans in Murray, UT seeks an EDI Analyst at Level I or Level II to support health plan enrollment, claims, payments, and clearinghouse activities. This role provides technical support during and after EDI implementations and works under the EDI...EDI
- ...join our team as a Cognitive Behavioral Specialist (CBS) to service our patients in the... ...Georgia, dedicated to delivering quality healthcare directly to patients in care facilities... ...license must be in good standing. Actively enrolled in or willing to enroll in a Dementia...SuggestedFull timeMonday to FridayFlexible hoursShift work
- # Enrollment SpecialistThe Community Group - Lawrence , MA 01840## OverviewSalary Range$20.00 - $23.00 HourlyCategoryProgram Support##... ...and resources they need.**Role Summary:**The Program Enrollment Specialist manages an assigned portfolio of accounts, provides backup...SuggestedFull timeLocal area
$42k - $78k
...assist in the monitoring, reporting and quality assurance of all enrollment related activities in Internal Operations to ensure we meet... ...group contract obligations as well as department objectives. The Specialist is responsible for the most complex transactions and issue...SuggestedContract workWork experience placementWork at office- CareSource is seeking a Community Marketing Representative II to drive enrollment and membership retention in the Dayton, OH area. You will educate community organizations about all CareSource lines of business and serve as a subject matter expert, supporting enrollment...
- Stanbridge University is seeking an Admissions Representative to guide prospective students from inquiry through enrollment. This KPI-driven role focuses on engagement, interviews, and a high-quality, student-centered experience in a fast-paced setting. You will manage...
- ...South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in... ...Clinical Documentation Integrity (CDI) Specialist is responsible for conducting comprehensive... ...(FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI...Full timeTemporary workFlexible hours
- # Search Engine Optimization Specialist: US - Remote: Oct 7, 2026: Oct 7, 2026## About the... ...high-demand fields including nursing, healthcare, teaching, business, technology, and public... ..., engagement, leads, applications, and enrollments that consistently meet or exceed...Remote work
- PrismHR is seeking a System Support Associate to implement and maintain EDI feeds supporting healthcare data exchanges. You will work with the technical team to ensure secure data transfers, HIPAA compliance, and integration with client, carrier, and vendor systems. Ideal...EDI
$165k - $190k
...HealthCare Partners, IPA and HealthCare Partners, MSO together comprise... ...00 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid... ...awareness of HL7 v2.x and X12 EDI (270/271 eligibility, 837/835...EDIWork experience placementLocal areaShift work- ...mission is to bring affordable, high-quality healthcare to the millions who struggle to pay... ...platform, including responsibility for EDI, client extracts, file-based integrations... ...core business definitions (e.g., member, enrollment, PMPM) are consumed consistently across...EDIWork at officeRemote work
- ...Full time: Posted Today: JR107418Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital... ...purchase orders, and actively review GPO contracts and EDI exceptions to ensure accurate pricing. This individual will proactively...EDIFull timeShift workDay shift
- ..., access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health... ...implementation and maintenance of electronic data interchange (EDI) related to claims submissions and processing status Works...EDI
- ...Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential... ...Summary The Harris Health System Hospital Crisis Intervention Specialist has the primary responsibility for managing crisis...Work experience placementLocal areaFlexible hoursWeekend work
$57 - $65 per hour
...accommodation or an alternative application process. Behavioral Health Specialist: Part-Time/Evening Hours ** Professional Lake Forest, CA, US... ...with medical, dental, psychiatry, optometry and other healthcare team members as appropriate for integration, consultation, and...Hourly payPart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursWeekend workAfternoon shift$18.9 - $25.52 per hour
...HIMS Specialist Health Information Management Systems (HIMS) - Grand River Health | Rifle, CO At Grand River, we are more than a... ...protected health information (PHI) from patients, departments, healthcare providers, and legal entities while adhering to privacy regulations...- ...Clackamas County Children’s Commission Code of Conduct Confidentiality: Respect and maintain confidentiality of information regarding enrolled children and families, personnel issues, and other program operations as appropriate. Training: In consultation with supervisor,...
- ...communities we serve. How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and... ...Experience: Previous utilization review experience in a psychiatric healthcare facility preferred. License: Current unencumbered clinical...Temporary workFlexible hours
- ...ELECTRONIC HEALTH RECORD SPECIALIST# ELECTRONIC HEALTH RECORD SPECIALIST18490 SUQUAMISH WAY NE #105, SUQUAMISH WA 98392 - SUQUAMISH ,... ...to multiple end users and endpoint devices, preferably in a healthcare environment.* Working knowledge of EHR applications, healthcare...Casual workWork at office
- ...variety of commercial transactions involving a broad range of healthcare entities, including hospitals, health systems, health plans, physician... ...connectivity agreements, trading partner agreements, EDI-related contracts, and interoperability arrangements supporting...EDIH1bWork at office
- ...Alexandria Hospital is looking for a dedicated Case Management Specialist to join the team. This role will be Full-Time, Day Shift,... ...and holidays rotation). Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also...Full timeContract workMonday to FridayWeekend workDay shift
- ...accommodation or an alternative application process. Health Specialist Regular Full-Time Des Moines, IA, US SUMMARY OF POSITION... ...medications, wellness, safety, etc. Assist in maintaining healthcare/emergency supplies Other duties as assigned Adherence to...Full timeWork experience placement10 hours per weekFlexible hoursShift work
$19.05 per hour
...depending upon need of the program.**WHY SHEPPARD PRATT?** At Sheppard Pratt, we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individual’s facing life’s challenges. Join us and be a part of...Temporary workNight shiftWeekend work- ...Otsuka America Pharmaceutical Inc. is seeking a Neuroscience Specialist to engage healthcare providers using in-person, virtual, and digital tools. You will serve as the primary point of contact for HCP customers and address on-label information with approved content....Local area
$22.17 per hour
...Environmental Services has an outstanding opportunity for a Fiscal Specialist 2. WORK SCHEDULE 100% FTE (40 hours per week) Day Shift... ...in the country. ABOUT UW MEDICINE – A HIGHER DEGREE OF HEALTHCARE UW Medicine is Washington’s only health system that includes...Hourly payFull timeTemporary workWork at officeShift workDay shift$60k - $70k
...Career Opportunities: Operational Excellence Specialist (4495) Requisition ID 4495-Posted 09/09/2026- Operations - Job Location (country... ...industry expertise in fashion and apparel, consumer goods, healthcare, energy, and industrials. OIA Global is privately held by LDI,...Contract workWork at officeFlexible hoursShift work$60k - $100k
...Job Description: About Streamline Healthcare Solutions Here at Streamline, we strive on building lasting and trusting relationships with... ...in Healthcare domain with strong working knowledge of EDI transactions including Eligibility (270/271), Claims Processing...EDIInternshipLocal areaRemote workFlexible hours$108.6k - $250.7k
## Dermatology Health & Science Specialist AD - Memphis, TNSolliciteren: United States - Tennessee - Memphis: Voltijds: Vandaag geplaatst... ..., and reach patients through strong partnerships across the healthcare system. In a complex and rapidly evolving pharmaceutical landscape...Permanent employmentWork experience placementH1bWork at officeLocal areaVisa sponsorshipWork visaRelocation packageNight shift- Molina Healthcare is seeking a Claims Specialist to support appeals and disputes resolution, ensuring timely handling in alignment with CMS requirements. The role involves researching claims, reviewing medical records, and preparing formal responses. Strong communication...
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