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
$18 - $27 per hour
...supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely processing and... ...as necessary to ensure proper filing of supplemental claims to insurance companies. The staff in this position works closely...EDIClaimsFull timeWork at officeFlexible hours- ...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
- Join to apply for the EDI Specialist, EDI role at LogixHealth Location... ...will 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
$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$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- ...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
- NeighborHealth Corporation seeks a Payment Poster/EDI Specialist to ensure accurate posting of payments and rejections from insurers, patients, and third parties to patient accounts. You will research account information, adjust as needed, and collaborate with departments...EDI
- ...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
Customer Deductions Specialist The Customer Deductions Specialist... ...and resolution of payment discrepancies while... ...responsibilities will include limited EDI order support and basic... ...and short pay claims in a timely manner.... ...is a family owned and operated craft meat business that...EDIClaimsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hoursNight shift- ...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
- ...deductions are a core part of day-to-day operations. Reporting to the Accounting Supervisor... ...(remittance advices, customer portals, EDI documents, promotional calendars) to validate... ..., off-invoice allowances, freight claims, pricing discrepancies, damages, returns,...EDIClaims
$67.9k - $199.14k
...Manager - Business Consulting, within the Payment Integrity Center of Excellence (PICOE)... ...partners. Initiatives may range across operational change, new uses of analytics and technology... ...accuracy and performance of our claim editing vendors, proposing opportunities...ClaimsHourly payFull timeTemporary workWork experience placementLocal area- ...Summary You will serve as a Supervisory Facility Operations Specialist with the National Park Service. Major Duties As a Supervisory Facility... ...satisfactory performance for each period of temporary employment claimed, such as, performance evaluations, memorandum of record,...ClaimsPermanent employmentFull timeTemporary workWork at officeWeekend work
- ...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
$20 - $21 per hour
...career development ~ Meaningful work that positively impacts our members and communities About the Role As a Payment Operations Specialist I , you’ll support the day-to-day processing of payment transactions that keep member accounts accurate and payments moving...Hourly payH1bWork at officeWork from home3 days per week$127k - $160.55k
...Engineer leads the engineering workstreams that underpin the Payment Operations monitoring transformation program at Zelis. This role designs... ...Experience in healthcare payment processing, including ACH, EDI 835 delivery, virtual card (VCC or VRA), or provider payment...EDIFull timeWork at officeLocal areaVisa sponsorshipFlexible hours$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$105.4k - $207.8k
...Healthcare product portfolio. Forward Deployed Engineers operate at the intersection of client delivery, applied... ...understanding of healthcare data and data standards (e.g., claims, remittances, EMR data, HL7, FHIR, X12 EDI), with the ability to reason through data quality and...EDIClaimsLocal area$139k - $176.7k
...growth conversations.Depth in C# / .NET building and operating production REST APIs and backend services.... ...PreferredHealthcare IT experience, especially member cost, claims, benefits, or price-transparency data (e.g., X12 EDI 270/271 and 837, No Surprises Act, Transparency in...EDIClaimsFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours- ...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... ...services. You will handle claims submission, payment posting, denials management... ...electronic claims submission (EDI 837P) and ERA/EOB payment...EDIClaims
- ...Consulting, Interactive, Technology and Operations services—all powered by the world’s largest... ...support. Epic Tapestry certification in Claims, E&E, Benefits Engine, CRM, or UM - strongly... ...Epic integration standards (FHIR R4, EDI X12, CDA/CCDA) as applied to EPP data exchange...EDIClaimsFull timeWork experience placementLive inWork at officeLocal area
- ...expedited shipments, and assist with lost, delayed, or damaged shipment claims. Package, preserve, protect, identify, and label finished... ..., export documentation, customer portals, ASN systems, or EDI requirements. Knowledge of aerospace packaging, preservation,...EDIClaimsContract workWork at office
$70.7k - $84.9k
...will: Research, analyze, and resolve payment discrepancies and compliance deductions... ...Dispute invalid deductions within the claim's expiration timeframe, and follow through... ...Vendor Portals Knowledge of AS400 system, EDI, Microsoft D365 desirable Advanced knowledge...EDIClaimsTemporary workWork at officeImmediate startFlexible 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...EDIClaimsFull timeTemporary workWork at officeImmediate startFlexible hours$128.8k - $193.2k
...DescriptionThe Manager of Commercial Rebate Operations has a critical role, reporting into the... ...reconciliation, dispute and customer payment administration of Traditional/Distributor... ...administration technology (i.e. Model N, Validata, EDI, Helix).2+ years’ experience in reviewing...EDIOngoing contractFull timeContract workSummer workWork at officeRemote workFlexible hours2 days per week- ...Summary This vacancy is for a GS-0132-12, Intelligence Operations Specialist located in the Department of Homeland Security (DHS),... ...All Federal employees are required to have Federal salary payments made by direct deposit. This position requires the selectee...Full timePart timeWork at officeFlexible hours
$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
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