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
$32.69 - $33.65 per hour
Bay Cove Human Services in Boston is seeking a Revenue Cycle Posting Specialist to help manage electronic claims submissions and ensure compliance with payment standards. The role requires strong understanding of accounting principles and experience in payment posting...EDIClaimsHourly pay$18 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. It works closely with other departments...EDIClaimsHourly payFull timeWork at officeFlexible hours$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... ...roles 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
- 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
- ...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 is seeking a Payment Poster/EDI Specialist for the Patient Accounts team in Revere, MA. Under direct supervision, you will post incoming payments and rejections from insurance companies and patients, verify account information, and adjust postings to ensure...EDI
$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$60.8k - $82.9k
...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... ...goals. Work with finance to reconcile payments and resolve discrepancies. Support and...EDIClaimsBi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$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$32.69 - $33.65 per hour
...Revenue Cycle Posting Specialist is a technically proficient... ...for ensuring that EDI standards are being followed... ..., financial software, payment reconciliation, and... ...Comprehensive understanding of Claim Adjustment Reason Codes... ...Specialist Standard Operating Procedures (SOPs)....EDIClaimsHourly payContract workLocal areaFlexible hours$90k - $110k
...complex environmental, asbestos, and/or latent type insurance claims. We are proud to be an affiliate of the Berkshire Hathaway... ..., and Stamford, CT. POSITION SUMMARY: The Billing & Payments Operations Manager supervises a team of litigation technicians responsible...ClaimsFull time$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- 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
$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...$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$70k - $95k
...our people-first approach will allow you to thrive while continuing to grow in your career. Position Summary The Payment Operations Specialist is responsible for the accurate and timely execution of payment activity, including maintaining EFT payment templates, entering...$113k - $132k
...supporting the configuration and validation of the Facets core claims platform for a healthcare Proof of Concept (POC). This role focuses... ...of the System Integration team and work closely with claims, EDI, and testing stakeholders to ensure accurate claims adjudication...EDIClaimsFull timeTemporary workRemote work$45k - $60k
...and the fund accounting agent for BBH’s institutional clients. It also handles relationship management, processing and escalating claims, income collection, corporate actions, collateral management, failed trade monitoring, post‑execution and pre‑settlement functions,...ClaimsWork at officeLocal 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$45k - $60k
...relationship management, processing and escalating claims, income collection, corporate actions,... ...firm, known for premium service, specialist expertise, technology solutions and... ...beyond your daily role is part of how we operate as trusted partners to one another. We believe...ClaimsWork at officeLocal area- ...business lead for the staged build of a core member engagement operational data platform Align platform roadmap and phasing with... ...Knowledge of core health plan technologies such as data warehouses, EDI, and claims/administrative systems Familiarity with customer engagement...EDIClaims2 days per week
- ...Analyst - 6+ Month Contract, hybrid at 100 Hancock St, Quincy, MA 02171. Local candidates from MA, NH, or RI only. Requires healthcare EDI claims experience. Job Details Position Name: MMIS Business Analyst Duration: 6+ months Location: 100 Hancock Street, Quincy, MA 021...EDIClaimsContract workTemporary workLocal area
$110k - $140k
...customers where their plan design, data, and operations already exist and turning a signed... ...configuration, provider directory references, claims feeds, and any other required customer... ...systems. You can read and write at least one EDI flavor ideally 834 (eligibility) and 837...EDIClaimsContract workTemporary workWork at officeRemote workHome office$113k - $132k
Senior Facets Claims Integration Engineer - Healthcare Location: Remote Employment Type... ...the delivery team, working closely with EDI, Facets, and claims stakeholders to ensure... ...source claims data and adjudicated outputs Operate effectively with minimal ramp‑up in an...EDIClaimsFull timeTemporary workRemote work$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- ...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
$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$18.5 - $42.35 per hour
...Coordinator, will be responsible for: Managing a high volume of medical claims that have denied by refuting the denials within payer guidelines... ..., as well as familiarity with Electronic Data Interchange (EDI) transmission, Electronic Health Record or encounter charge...EDIClaimsHourly payFull timeContract workTemporary workWork at officeLocal area$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
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to EDI Operations Specialist - Claims & Payments. Be the first to apply!
- provider operations coordinator Boston, MA
- bank operations specialist Boston, MA
- aviation operations specialist Boston, MA
- field operations specialist Boston, MA
- hr operations specialist Boston, MA
- flight operations specialist Boston, MA
- global operations specialist Boston, MA
- operations management specialist Boston, MA
- people operations specialist Boston, MA
- customer service operations specialist Boston, MA

