Remote EDI Claims Project Lead
Eliassen Group
- Remote job
A leading consulting firm is seeking a Project Manager to oversee claims processing and EDI initiatives. The role involves managing multiple vendors and ensuring the optimization of EDI workflows. Candidates must have proven experience with EDI 837 transactions and vendor management skills. This is a remote position with a competitive compensation package that includes comprehensive health benefits and a retirement plan. Ideal for individuals with a background in healthcare and strong project management abilities. #J-18808-Ljbffr Eliassen Group
- A consulting firm is seeking an experienced project manager specializing in EDI initiatives to lead claims processing modernization. The ideal candidate will have a proven track record with EDI 837 transactions and strong vendor management skills. Responsibilities include...Remote jobEDIClaims
- A strategic consulting company is seeking a Project Manager to lead the modernization of claims processing. This remote position involves managing EDI workflows, coordinating with vendors, and implementing automation processes. The ideal candidate has proven experience...Remote jobEDIClaims
$62 - $65 per hour
...Analyst Max Supplier Bill Rate: $62-65 Remote PST No OT Must Have's: 1.... ...exchange workflows. 3. Familiarity with EDI/X12 transactions (e.g., 270/271, 278).... ...middleware, or APIs. 9. Experience with claims, authorizations, or eligibility system...Remote workEDIClaims- ...Job Title: EDI Claims Analyst Job Location: Remote Job Type: Contract Job Description: The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This...Remote workEDIClaimsContract work
- ...years of experience in health care experience especially in MMIS domain. ~ In depth understanding of Claims and Claims lifecycle: ~ Claim submission - Paper and EDI X12 ~ Adjudication ~ Payment Cycle (Finance) ~ Reporting ~ Encounters and Capitation...Remote workEDIClaims
- A consulting firm is seeking a Project Manager to lead the implementation of EDI 837 workflows in Sacramento, CA. The... ...will manage end-to-end projects in claims processing, coordinate with multiple... ...employees. The position is fully remote, allowing flexibility for...Remote jobEDIClaims
- A healthcare services company is seeking an EDI Claims Analyst to analyze and process electronic data interchange (EDI) transactions. This remote role involves reviewing claims rejections and ensuring accurate data submission for efficient claims processing. The ideal candidate...Remote jobEDIClaims
- ...and Medicare. 2. Candidate should have hands-on experience on claims processing and adjudication processes. 3. Must have good experience... ..., payment details, find members/providers, benefit plan). EDI Tools: Validating X12 files. Interface Testing: Understanding...Remote workEDIClaims
- A healthcare organization is seeking a Revenue Cycle EDI Systems Analyst to optimize billing and claims management processes. The candidate should have at least... ...regulations and enhancing revenue cycle performance. Remote work is available with occasional travel, and the...Remote jobEDIClaims
- ...payer systems. The ideal candidate will have hands-on expertise in claims processing, adjudication, and financial claims. Key... ...Strong MMIS and claims/adjudication experience ~ Knowledge of EDI transactions (837, 835, 270/271) ~ Strong communication and documentation...Remote workEDIClaims
- ...Act as a conduit between clients, who bill medical insurance claims electronically, and Quadax. The Account Representative is the face... ...public speaking skills Previous experience working remotely preferred Must be willing to travel via automobile 50%-75% of...Remote workEDIClaimsWork at office
- ...Business Analyst Claims (Remote) Location: Boston, MA Contract Duration: 04-06-2026 to 10-... ...experienced Business Analyst with expertise in EDI and healthcare claims. Focus on... ...performance. Key Responsibilities Lead implementation of EDI 837 and proprietary...Remote workEDIClaimsContract work
$96.8k - $121k
...exchange of healthcare data with partners. Key responsibilities include data mapping, validation, and monitoring of data feeds for claims. The ideal candidate will have a Bachelor's degree in a relevant field and at least 2 years of experience in data analysis within the...Remote jobEDIClaims$23.96 - $35.95 per hour
...FL, MO, NV, TX, WA and WI ~100% Remote: This position is open to work remotely... ...must have experience with SQL and EDI along with CPT codes and medical... ...assisting with daily EDI processes, claims support functions, and special projects. This role plays a key part in...Remote workEDIClaimsWork at officeDay shift$22 - $27 per hour
...Job Responsibilities You'll prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals You'll prepare and submit applications to configure Electronic Funds...Remote workEDIClaimsHourly pay- ...Act as a conduit between clients, who bill medical insurance claims electronically, and Quadax. The Account Representative is the face... ...public speaking skills Previous experience working remotely preferred Must be willing to travel by automobile/air approximately...Remote workEDIClaims
- ...Key Responsibilities # Lead end-to-end testing strategy, planning... ...scenarios across modules (claims, eligibility, enrollment,... ...management skills ~ Experience with EDI transactions (X12-837, 834,... ...in MMIS implementations or modernization projects (Preferred)...Remote workEDIClaims
- ...Austin Benefits Group is a leading employee benefits firm delivering... ...enrollment and every resolved claim is a team that genuinely cares... ...vendor when required Audit API/EDI/834 integrations to ensure no... ...months. Youve earned it. Remote Fridays Work from home...Remote workEDIClaimsSummer workWork at officeWork from home
- ...Representative to manage client interactions and assist with electronic claims processing. Ideal candidates will have experience in medical... ...client queries, and identifying billing trends. The role is remote with 30-50% travel required. Applicants are expected to maintain...Remote jobEDIClaims
$75k - $90k
...Senior Business Analyst positions focused on medical claims. The ideal candidates will possess strong... ...systems analysis, particularly in claims processing (EDI 837), within an Agile environment. This is a remote position for a contract length of 12 months, with a...Remote jobEDIClaimsFull timeContract work$125k - $135k
...CTG is seeking a highly experienced Epic HB Admin & HB Claims/Remit Analyst to support hospital revenue cycle operations. This individual... ...operations teams to implement root cause solutions Support EDI transactions, clearinghouse integrations, and payer-specific requirements...Remote workEDIClaimsLocal area- ...Provider Tester Location: St Louis, MO Remote Until Covid Duration: 6 to 12... ...HIPAA, x12, HIPPA 5010, Excel, MS Office, EDI 834 Correlate the Healthcare... ...Transactional Outputs against Eligibility, Claims Inquiry, Claims, Payment, etc. Should...Remote workEDIClaimsContract workImmediate start
$34 per hour
...exceptional leadership, and well-supported claims teams. They are actively seeking an... ...litigated and lost-time claims in a fully remote, full-time contract role . This opportunity... ...work efforts Ensure timely state filings, EDI submissions, and full regulatory compliance...Remote jobEDIClaimsFull timeContract workWork from home- ...Test Lead (Manual Test, US Healthcare & Medicaid/Pharmacy... ...across complex projects and ensuring compliance... ...functions, or pharmacy claims processing. Strong understanding... ...‑on experience with EDI transactions (837, 835,... ...expect in this role Remote Environment Shift...Remote workEDIClaimsShift work
- ...Title: Sr. AI Architect Location: Remote The Senior AI Architect provides technical... ...GCP). Leadership & Collaboration • Lead engineering teams; provide architectural... ...• Deep understanding of healthcare data (claims, EDI, clinical documents, payer/provider...Remote workEDIClaims
- ...~ PMP Certification ~6+ years of experience as a Project Manager ~4+ years of experience with PowerBI ~3+ years... ...systems Preferred Skills Experience with Healthcare Claims processing Knowledge of Incident and Change Management...Remote workClaimsFor contractors
- ^Remote Work **Must be authorized to work in USA. Job Description: We are seeking an experienced... ..., provider relations, care management, claims, and integration teams to enable compliant... ...Enrollment, Security). • Experience with EDI X12 278/275 workflows and payer...Remote workEDIClaims
- ...are seeking a highly experienced Facets Architect to lead the design and execution of legacy claims data archiving initiatives within a health plan environment... ...for archived claims data Collaborate with EDI, reporting, and downstream system teams to ensure data...Remote workEDIClaims
- ...Analyst, EDI II Working Location: McLean, VA (Fairfax County) Employment Status: Full Time Required Education: Bachelor's... ...related role. Requires three years of experience in Healthcare IT claims processing, HIPAA regulations, FHIR, EDIFECS Specbuilder, SQL, EDI...Remote workEDIClaimsFull timeVisa sponsorship
- Description Remote Our client is modernizing claims processing by bringing reprocessing and management in-... ...includes Zoho CRM, Abby OCR, and Pro EDI, with current workflows relying... ...$60.00/hr. w2 Responsibilities Lead end-to-end project execution for claims processing...Remote workEDIClaims
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