EDI Operations Specialist - Claims & Payments
LogixHealth
A healthcare solutions provider is hiring an EDI Specialist for their Bedford, MA location. This entry-level position involves filing insurance claims, reconciling payments, and ensuring accurate processing of EOBs. The ideal candidate will have proficiency in MS 365 and excellent communication skills. The role contributes to a collaborative environment within a company that values improving healthcare systems. A comprehensive benefits package is offered along with opportunities for professional growth. #J-18808-Ljbffr
$18 - $27 per hour
...essential support staff who keep our operations running smoothly every role at NeighborHealth... ...Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and... ...ensure proper filing of supplemental claims to insurance companies. The staff in...EDIClaimsFixed term contractWork at officeFlexible hours- ...Join to apply for the EDI Specialist, EDI role at LogixHealth Location... ...directly improve business operations. You’ll contribute to our... ...filing of insurance carrier claims, bank file retrieval, statement... ...Reconcile electronic payments by retrieving electronic bank...EDIClaimsFull time
- ...legacy Cerner/Oracle RCM modules, EDI interfaces, financial workflows, and operational design. The architect leads... ...OCI hosting impacts RevElate, EDI, claim flows, environment refresh cycles... ...Encounter conversion Charge, payment, and adjustment data mapping Aged...EDIClaims
- ...Under the direction of the Operations Manager, and maintaining the... ...functions that may be assigned. Specialists may be assigned a primary... ...reporting. Process IRA death claims in a timely manner.... ...process share drafts, stop payments, Remote Mobile Deposits, Shared...ClaimsFull timeWork at officeImmediate startRemote work
$57.76k - $124.17k
The Electronic Payments Operations team is responsible for the accurate, secure and timely execution of money movement in and out of the bank... ...associated with payments. As the FX Payment Operations Specialist , you will have responsibility and oversight for post-trade...SuggestedLocal areaRemote workFlexible hours$57k - $72k
...Role overview The Associate People Operations Specialist provides administrative and... ...the processing and reconciliation of payments across approximately 20 vendors (including... ...and UK benefits Support unemployment claim documentation and responses Ensure...ClaimsFlexible hours$55k - $65k
...complex environmental, asbestos, and/or latent type insurance claims. We are proud to be an affiliate of the Berkshire Hathaway group... ...helps process legal invoices for insurance claims and makes sure payments are handled accurately and on time. This position works closely...ClaimsFull timeWork experience placementWork at office$18 per hour
NeighborHealth Corporation is seeking a Payment Poster/EDI Specialist in Revere, Massachusetts. The role involves accurate processing and posting of payments, account research, and collaboration with various departments for financial accuracy. The ideal candidate will have...EDIHourly payFull time$55k - $65k
...complex environmental, asbestos, and/or latent type insurance claims. We are proud to be an affiliate of the Berkshire Hathaway group... ...carriers. The team ensures proper billing and provides transactional payment support across a number of systems for the Direct Claims...ClaimsFull timeWork experience placement$79.2k - $209.5k
...Develop and enhance OHI modules supporting enrollment, benefits, claims, and payments. Build scalable microservices and APIs supporting payer... .... Develop integrations using healthcare standards and EDI transactions. Troubleshoot production issues and support continuous...EDIClaimsTemporary workFlexible hours$60.8k - $82.9k
...our caring community As a Revenue Cycle EDI Systems Analyst , you will report to the... ...cycle applications utilized for billing and claims management. Identify and implement... ...company goals. Work with finance to reconcile payments and resolve discrepancies. Support and train...EDIClaimsBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Business Analyst Claims (Remote) Location: Boston, MA Contract Duration: 04-06-2026 to 10-30-2026 Rate: DOE Job Overview Seeking an experienced Business Analyst with expertise in EDI and healthcare claims. Focus on implementation and optimization of 837 and...EDIClaimsRemote jobContract work
- ...in New Hampshire. This hybrid role requires at least 5 years of business analysis experience along with expertise in healthcare EDI claims and data management. The ideal candidate will work on multiple projects, utilizing strong analytical skills and tools like Tableau...EDIClaimsLocal area
- ...organic food and beverage platform operating in Chico, CA and Havre de... ...and Customer Service Specialist to join our growing Customer... ...research and validate deductions, claims, and chargebacks, participating... ...chain processes. Knowledge of EDI; experience with SPS Commerce...EDIClaimsLocal area
$55k - $60k
...Senior Deposit Operations Specialist The Senior Deposit Operations Specialist is responsible for overseeing complex operational tasks related... ...of year-end IRS tax reporting, process IRA death claims in a timely manner, administer the IRA program including the...ClaimsWork experience placementWork at officeImmediate start- Rockland Federal Credit Union is seeking a Payment Operations Specialist I in Canton, MA. This full-time position involves routine deposit account processing and maintenance activities, with a focus on policy and procedural compliance. The ideal candidate will have a high...Full time
$20 - $21.5 per hour
...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Payment Operations Specialist I Full Time Professional Canton, MA, US 5 days ago Requisition ID: 1088 Salary Range: $20.00 To $21.50 Hourly The...Hourly payFull timeFlexible hours$57.4k - $86.1k
...Federal Reserve Bank of New York is seeking a highly skilled individual to manage customer relationships and collateral custodial operations. This position involves monitoring collateral values, processing securities transfers, and ensuring compliance with regulatory...- ...Street, Quincy, MA 02171 / Hybrid Contract: 6+ months Eligibility: Local Candidate from MA, NH or RI Only Must have Healthcare EDI claims experience. Required Skills At least 1 - 3 years direct experience with health care data and data management. At least 1 - 3...EDIClaimsContract workTemporary workLocal area
- ...and phones are live during business and operating hours (M-F 8:30am-5:00pm) Process daily... ...delivery to proper recipient Print and process claims, bills and other forms on a daily basis... ...specifications Process and transmit EDI batches daily according to standards Follow...EDIClaimsContract workWork at office
$52 per hour
...Schedules are subject to change based on the operational needs of the business. Pay rate is $52/... ...Process HIPAA ANSI X12 standards and EDI 835, 270, 271, 276, 277, 837 and 999 and good knowledge of Medicaid and Pharmacy claims Must have experience with Copay and cost...EDIClaimsWork from homeMonday to Friday$90k - $115k
...insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs... ...Berkley Environmental is looking for an enthusiastic experienced EDI Analyst to partner between IT and our business units to monitor,...EDIClaimsFull timeWork experience placement$54k - $68.4k
...shape who you are. Position Overview The Operations Analyst, DRG will provide daily operational support to the Expert Claims Review team, including the itemized bill... ...and referral processes, including ECR and ECR-EDI, DRG Validation and DRG Outlier pricing....EDIClaimsFull timeWork at officeLocal areaVisa sponsorshipFlexible hours- ...expanding our BLS ambulance operations and building a team of... ...Ambulance Billing & Revenue Cycle Specialist to manage the full billing... ...services. You will handle claims submission, payment posting, denials management... ...claims submission (EDI 837P) and ERA/EOB payment posting...EDIClaims
$18.36 - $23.09 per hour
...effectively and efficiently to facilitate prompt payment for services via billing systems and... ...: verifying client eligibility, monthly claim/invoice submissions, resubmissions or back... ...generating monthly charges and transmission of EDI claims and invoices Investigate and...EDIClaimsTemporary workFlexible hours- ...MGB Health Plan is seeking an experienced EDI Developer responsible for the design,... ...qualifications include exposure to QNXT (claims and enrollment processing systems), ASP.NET... ...and revision management to ensure inter-operability of systems -Anticipates and meets, or exceeds...EDIClaimsWork at officeRemote workFlexible hours
$135k - $155k
Overview This role leads operations strategy and service design for Core Administration Business... ...future-state operating models spanning claims, enrollment, billing, provider relations... ...management, provider data management, payment integrity, member engagement, and...ClaimsPermanent employmentFull timeWork at officeRemote work$55k - $65k
Resolute Management, Inc. is seeking a Litigation Technician in Boston, MA, to process legal invoices and ensure accurate payments for insurance claims. Ideal candidates are detail-oriented and skilled in handling multiple priorities in a fast-paced environment. The...Full time- ...opportunities, and much more. The EPIC EDI Developer is an experienced developer with... ...disaster recovery and production support operations. Coordinate and lead technical support and... ...modules like Group, Member, Provider, Claims etc. preferred. Understanding of health...EDIClaimsWork experience placementWork at officeRemote workFlexible hours
$88.94k - $133.41k
...of Point32Health’s All‑Payer Claims Database (APCD) submissions across... ...to ensure compliance and operational excellence. The ideal... ...knowledge of X12 837, 277, and 835 EDI transactions a plus. Demonstrated... ...ask the applicant to make a payment. Point32Health would never...EDIClaimsWork at officeFlexible hours1 day per week
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