EDI Specialist: Claims & Revenue Cycle Champion
MedVanta Interco, LLC.
MedVanta is seeking an EDI Specialist to manage daily claim submission workflows, ensuring electronic and paper submissions are accurate and timely. The role coordinates with billing, registration, coding, and authorization teams to resolve front-end revenue cycle issues. Qualifications include a high school diploma with a preference for a Bachelor’s in Healthcare Administration or Business Administration, EDI certification, and familiarity with ANSI X12 standards and multiple EDI platforms. #J-18808-Ljbffr MedVanta Interco, LLC.
- ...Hospital Insurance Follow-Up Specialist District Partners is engaged with a well-established... ...Follow-Up Specialist to support its revenue cycle operations. This role is best suited... ..., partially paid, and denied hospital claims to determine the cause of the...Claims
$22 - $25 per hour
...while building a team driven path to success. The EDI Specialist is responsible for managing daily claim submission workflows to ensure claims are... ...rejection trends, and support efficient front‑end revenue cycle operations. Primary Responsibilities The incumbent...EDIClaimsFull timePart timeWork at officeFlexible hoursShift work- ...environment. This position partners with Revenue Cycle, Finance, Clinical Operations,... ...demonstrates flexibility in approaches to work; champions change and helps others adapt to new... ...description/fee schedule development, claims billing, or a directly related field OR...Claims
- ...seeking a detail-oriented, organized, and assertive individual for our Revenue Cycle/ Follow Up Specialist position. The candidate would be responsible for the basic collection of unpaid third-party claims and standard appeals, using various billing applications and third-...ClaimsFull timeContract workWork at office
- ...Job Description Job Description Revenue Cycle Billing Specialist Reports To: Revenue Cycle Manager Job Summary: Responsible for the... ...billing information. Responsible for submitting insurance claims, payment posting, follow up, payer appeals and reporting....ClaimsContract work
$50k - $60k
...considered. Job Summary We are looking for an Entry‑Level Insurance & Revenue Cycle Analyst who can support a variety of needs within the company'... ...follow‑up calls with insurance companies Following up on claims Billing clients for Patient Responsibility and reconciling...ClaimsFull timeTemporary work- ...Associate Vice President of Revenue Cycle About the Company Leading hospice, palliative & home health care provider Industry... ...managing staff, and ensuring the timely and accurate submission of claims across various payers. The role also requires close collaboration...Claims
- ...Coder I to support the Medicare Operations team by reviewing claims for coding accuracy, assigning ICD-10-CM and CPT codes, and ensuring... ...production environment. You will collaborate with Finance and Revenue Cycle, leveraging KPI insights and standard tools to drive accuracy,...ClaimsWork at office
$85k - $115k
...patient care optimization, and revenue strategy, helping clients... ...Overhead Performance Revenue Cycle Effectiveness Managed Care... ..., improving timely claim submissions, reducing denials... ...BRG, our professionals include specialist consultants, industry experts...ClaimsWork at officeLocal area$50k
...salary We are looking for a highly organized, detail-oriented Revenue Cycle & Operations Coordinator to support a growing multi-location mental... ...team, tracking aging and denials, and making sure unresolved claims and patient balance issues continue moving toward resolution....ClaimsWork at officeRemote workWork from homeFlexible hours2 days per week$18 - $20 per hour
...building a team driven path to success. The EDI (Electronic Data Interchange) Associate... ...responsible for supporting electronic claims processing, troubleshooting transaction... ...payment files. Collaborate with the revenue cycle team to optimize workflows and improve claim...EDIClaimsWork at officeShift work$95.4k - $163.2k
...healthcare finance through innovation and AI? Amazon is seeking a Revenue Cycle manager to own the strategy and performance of the end-to-end... ...reimbursement models- Dive deep to identify root causes of claim and payment defects, distinguish symptoms from systemic issues...ClaimsFlexible hours$105.4k - $207.8k
...healthcare data foundation — into production-scale capabilities in each client's environment, with a focus on revenue cycle: patient access, coding, billing, claims, denials, and accounts receivable.This is a techno-functional role: it requires both deep technical skill...ClaimsLocal area$249.14k - $373.72k
...Adventist HealthCare seeks to hire an experienced Vice President of Revenue Cycle & Managed Care who will embrace our mission to extend God’s... ...performance data — including denial rates, underpayments, and claims adjudication patterns — to directly inform and strengthen...ClaimsDaily paidFull timeContract workTemporary workWork at officeLocal areaFlexible hours$170k - $190k
...Join to apply for the Director, Revenue Cycle role at Tegria This range is provided by Tegria. Your actual pay will be based on your skills... ...certifications in Revenue Cycle applications (HB, PB, HIM, Claims, etc.) Proven experience in both revenue cycle operations and...ClaimsFull timeLocal areaRemote workFlexible hours- ...Falls Church, VA seeks a Physician Insurance Analyst to join our revenue cycle team. This full-time, hybrid role combines four days remote with one day in the office, Monday through Friday, to support claims processing, coding review, and payer communications. You will...ClaimsFull timeWork at officeRemote workMonday to Friday
- ...Health seeks a dedicated Physician Insurance Analyst to join our revenue cycle team in a full-time, hybrid role. The position involves four... ..., VA, requiring prior physician billing experience and strong claims processing skills. Key duties include handling claims,...ClaimsFull timeWork at officeRemote work
- ...Senior Coding Specialist Healthcare Legal Solutions is seeking an experienced Senior... ...to support our end-to-end appeals and claims recovery operations. This role will be... ...legal and clinical reviewers, and client revenue cycle teams to clarify documentation, resolve...Claims
- ...from the Healthcare Background with strong experience in Claims Adjudication and EDI Processing exp!!!Position Purpose:Senior Business Analyst... ...environmentUnderstanding of health industry diagnosis, procedure and revenue codes and their applicationStrong business analytical...EDIClaims
- MedVanta, LLC is seeking an EDI Associate in Bethesda, MD to support electronic claims processing and data interchange. The role partners with billing and payer teams to ensure timely submissions and accurate payment transmissions. The candidate will manage claim submissions...EDIClaims
- ...Design, develop, and maintain Edifecs based EDI solutions supporting healthcare... ...multiple healthcare EDI transaction types (e.g., claims, eligibility, remittance, enrollment, acknowledgements... ...to resolve issues. • Support regression cycles and release activities related to EDI...EDIClaimsFull time
- ...results while providing efficiency and effectiveness for the Revenue Cycle operations within the Revenue Cycle function of National Spine... ...is essential. Also, experience within a centralized business office processing hospital and professional fee claims is preferred....ClaimsWork at office
$88.79k - $133.18k
...and analyze coding-related denials and revenue flow interruptions to identify patterns... ...bridge gaps between clinical and revenue cycle processes.Required Education and ExperienceAssociate... ...)Required CredentialsCertified Coding Specialist (CCS) certification by the American...Full timeWork experience placementRemote work$24.93 - $26.39 per hour
Position Title Accounts Payable Specialist Location Washington, DC (... ...Distributions Travel and Employee Claims Administer timely and... ...Responsible for working on the full cycle processes associated with the... ...associated with SOI revenue sharing arrangements (e.g., multi...ClaimsHourly payFull timeLocal area2 days per week$50.02k
Public Provider Reimbursement Specialist- Westborough MA Position Details Position Type: Full... ...and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts.... ...responsible for performing medical billing and claiming functions, activities to identify and...ClaimsFull timeWork at officeRemote workShift work- ...understanding of software development life cycle (SDLC)., Expert Knowledge of software... ...skills on a programming language, Advanced EDI Analyst/Specialist with deep expertise in X12 EDI transactions like 837 & 835. Claim payor experience. HIPAA compliance and...EDIClaimsWork experience placementWork at officeImmediate start
$24 per hour
...Pay From: $24 per hour MUST: 2+ years of full cycle medical billing and revenue cycle experience Handling escalated patient billing... ...support with Accounts Receivables, payment posting, rejected claims and coding Resolving billing issues and overseeing...ClaimsHourly pay- Inova is looking for a dedicated Revenue Integrity Specialist Senior to join the team. This role will be full-time remote and permitted to work if... ...Requirements: Experience: 6 years in healthcare revenue cycle management, denial management, or related field Certification...Full timeRemote workFlexible hours
- ...Berkel & Company Contractors, Inc. is looking for a Field Safety Specialist to work within our Maryland Region. This position works with... ...* Active coordination with Risk Manager for identification of Claims trends and proactive risk management planning * Enforce documentation...ClaimsFull timeFor contractorsWork experience placementFor subcontractorWork at officeLocal area
- ...Program. You MUST provide transcripts to support your educational claims. Education must be accredited by an accrediting institution... ...Change of Station (PCS) with the government, the Internal Revenue Service (IRS) considers the majority of your entitlements to be...ClaimsPermanent employmentFull timePart timeWork experience placementWork at officeRelocationTrial period
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