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 LogixHealth
$55k - $60k
...individual to join our Customer Service in-house operations. Reporting to the Director of Customer... .... Support resolution of customer claims, deductions, shortages, damages, and delivery... ...~ Experience working within ERP systems, EDI platforms and customer portals strongly...EDIClaims- ...linkedin page We have an exciting opportunity for an EDI Developer that specifically has experience with Edifecs Smart... ...candidate would have experience with QNXT but also open to another claims payment system. Title: EDI Developer Remote /...EDIClaimsWork experience placementRemote work
- ...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
- ...Information Systems Management, Operations Management, Supply Chain... ...Slack, etc. Experience with EDI and business applications integration... ...of any third party claiming to represent the company. Any... ...personal information or make any payments and report the incident to your...EDIClaimsFull timeTemporary workWork experience placementWork at officeLocal areaImmediate start
$3,000 per month
The Customer Deductions Specialist will be primarily... ...identification and resolution of payment discrepancies while... ...will include limited EDI order support and basic... ...deductions and short pay claims in a timely manner.... ...is a family owned and operated craft meat business that...EDIClaimsFull timeWork at officeFlexible hoursNight shift- ...Customer Care Specialist This position is responsible for providing excellent... ...potential or existing customers the basic operation and use. Answering phone inquiries... ...requests for approval and payment of Insulet products at time of claim processing. Calculate and document...ClaimsWork at office
- ...EDI Business Analyst We are seeking a business-focused EDI Business Analyst to serve... ...In this role, you'll work directly with operational stakeholders to gather and translate requirements... ...multiple functional areas—including claims, provider portals, and customer service...EDIClaims
- ...EDI Business Analyst Quincy, MA 02171 12 + Months Onsite Day 1: Hybrid Model: 2 - 3 Days Onsite. Experience and Education:... ...NCPDP transactions. A strong background working with Healthcare claims data, specifically 837 and NCPDP claims. Experience working with...EDIClaims
- ...Chelsea, MA is seeking a Customer Deductions Specialist to manage and resolve deductions and short... .... This role will include limited EDI order support and basic customer service functions. You will investigate claims, review invoices and documentation, and coordinate...EDIClaims
$55k - $60k
...established credit union. They are searching for Senior Deposit Operations Specialist to join a collaborative, close knit team where your... ...completeness, including year end IRS reporting Process IRA death claims in a timely and compliant manner Administer new IRA...ClaimsWork experience placementWork at office$55k - $60k
...Job Description Job Description The Senior Deposit Operations Specialist is responsible for overseeing complex operational tasks related... ...completeness 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$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$20.67 - $29.09 per hour
...Operations Coordinator The Operations Coordinator will provide general administrative support... ...eligibility, benefits, deductibles, co-payments, and out-of-pocket responsibilities.... ...authorization approvals. Assist with claim review and denial management for orthopedic...ClaimsContract workWork experience placementWork at office- ...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...EDIClaimsFull timeContract workWork at office
- ...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
$93.95k - $136.74k
...Mass General Brigham Health Plan EDI Developer Mass General Brigham Health Plan is... ...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...EDIClaimsWork at officeRemote workFlexible hoursShift work$99k - $130k
...by Lattice OS, an AI-powered operating system that turns thousands of... ...in close coordination with specialist teams including engineering,... ...scammers often attempt to extract payment or sensitive personal... ...questionable or fraudulent outreach claiming to be from Anduril, please...ClaimsPermanent employmentFull timeFor contractorsWork experience placementImmediate startWorldwideRelocationWeekend work$163k - $220k
...our Backend Software Engineer will be supporting and owning our Payments & Partnerships domain.What You’ll Do:You will work closely with... ...may involve fake job postings, unsolicited emails, or messages claiming to be from our recruiters or hiring managers. Please note, we...ClaimsFull timeWork at officeLocal areaRelocationFlexible hours- ...Mass General Brigham Health Plan is seeking a detail-oriented claims processor to work remotely, performing claims adjudication and coding verification to ensure accurate payment and compliance with billing regulations. Ideal candidates will have 2–4 years in healthcare...ClaimsFull timeRemote work
$129.5k - $207k
...exceeding expectations through every interaction. Within Chewy, the Payments team improves the customer and care team experience by... ...of payments.Chewy is hiring a Senior Program Manager, Payment Operations - Healthcare in Bellevue, WA, Plantation, FL, or Boston, MA to...Local areaFlexible hours$70.7k - $84.9k
..., You Will Research, analyze, and resolve payment discrepancies and compliance deductions assessed... ...Dispute invalid deductions within the claim’s expiration timeframe, and follow through... ...Vendor Portals Knowledge of AS400 system, EDI, Microsoft D365 desirable Advanced...EDIClaimsTemporary workWork at officeImmediate startFlexible hours$59.9k - $98.2k
Zurich is looking for an accomplished Workers Compensation Claims Specialist II to serve our Northeast region. This position offers a hybrid work... .... Learn and handle additional jurisdictions as needed. EDI filing requirements. MSA/Medicare knowledge. WCCA, WCCP Designations...EDIClaimsFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$120k - $130k
...clients , and working on various data types such as structured claims data, free text, documents and images. Build and... ...Agent SDK, MCP, A2A) and develop MVP for the next generation of payment integrity solutions. Create custom " tools " for the agent,...ClaimsPermanent employmentFull timeApprenticeshipInternshipRemote workFlexible hoursShift work- ...growth opportunities, and much more.The EPIC EDI Developer is an experienced developer... ...disaster recovery and production support operations.Coordinates and leads technical support and... ...modules like Group, Member, Provider, Claims etc. preferredUnderstanding of health insurance...EDIClaimsWork experience placementWork at officeFlexible hours
- Trillium Professional is seeking a Claims Analyst for a contract, remote position in Boston. The role focuses on managing complex pharmacy... ...Cycle Supervisor, you will research denied claims, pursue payments, analyze discrepancies, and work with teams to improve billing...ClaimsRemote jobContract work
$140k - $175k
...on a mission to deliver the world’s most important and complex payments. We use our Flywire Advantage - the combination of our next-... ...Job DescriptionThe OpportunityWe are seeking a Senior Business Operations & Strategy Manager to help drive strategic decision-making, operational...Full timeLocal areaImmediate start$72k - $141k
...fullest potential. This individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the... ...highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most...ClaimsFull timeWork experience placementWork at officeFlexible hours- ...everyone belongs and is inspired to do their best work. As an Operations Specialist, you make sure that products flow smoothly through the... ...might be eligible for discretionary bonuses or commission payments as well as relocation. Learn more about Apple Benefits ( For...Local areaRelocationNight shift
- ...Payment Poster Addison Group is seeking a Payment Poster for a growing healthcare organization in Braintree, MA. This is a fantastic... ...accurate and timely posting Work denials and follow up on outstanding claims Perform other billing-related duties as assigned Requirements:...ClaimsLocal areaMonday to FridayFlexible hoursShift work
- ...Billing and Accounts Receivable Specialist We are seeking an experienced and detail-oriented... ...receivable, preparing and submitting claims, and supporting our residents and families... ...with Medicaid questions and processes Post payments, reconcile accounts, and maintain...ClaimsTemporary workWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to EDI Operations Specialist - Claims & Payments. Be the first to apply!
- senior operations associate Boston, MA
- operations coordinator remote Boston, MA
- bank operations specialist Boston, MA
- field operations specialist Boston, MA
- provider operations coordinator Boston, MA
- flight operations specialist Boston, MA
- people operations specialist Boston, MA
- operations specialist Boston, MA
- it operations coordinator Boston, MA
- payment operations associate Boston, MA


