Remote HIPAA EDI Analyst: Claims & Data Flow Expert
$85k - $95kMetroPlusHealth
- Remote job
MetroPlusHealth is seeking an EDI Analyst to manage EDI transactions ensuring HIPAA-compliant data exchanges among healthcare partners. Responsibilities include configuring, testing, and troubleshooting EDI processes, along with maintaining accurate data flow. Applicants should have a Bachelor’s degree in Computer Science, five years of healthcare data analysis experience, and proficiency in Microsoft Office and SQL. The position is full-time with a salary range of $85,000.00 - $95,000.00 and offers a remote work arrangement. #J-18808-Ljbffr MetroPlusHealth
$85k - $95k
...EDI Analyst Job Ref: TE0113 Category: Information... ...Work Arrangement: Remote Salary Range: $85,... ...Electronic Data Interchange (EDI)... ...ensure accurate, HIPAA-compliant data exchange... ...errors affecting claims, eligibility, and... ...troubleshoot EDI data flows. By ensuring reliable...Remote workEDIClaimsFull timeWork at office$80.6k - $172.4k
...Business System Analyst - Interoperability... ...management, remote patient monitoring... ...specifications, data exchange designs... ...payer systems (claims, clinical data,... ...datasets (e.g., EDI 837/835, 270/271... ...privacy standards (HIPAA, PHI/PII... ...business process flows. Strong analytical...Remote workEDIClaimsPermanent employmentFull timeLocal area- ...should have hands-on experience on claims processing and Adjudication... ...good experience in Reference code/data sets required in Claims... ...providers, Benefit Plan). ~ EDI Tools: Validating X12 files.... ...Testing: Understanding how data flows between systems and formats and...Remote workEDIClaims
- ...Senior Benefits Analyst Location: New York (Jamaica), NY (REMOTE) Overview: We are... ...role focused on data accuracy, billing reconciliation... ..., eligibility, and claims. Partner with... ..., ACA, COBRA, and HIPAA requirements.... ...and vendor EDI feeds. ~ Proven experience...Remote workEDIClaimsNight shift
$91.26k - $152.1k
...TPL Senior Business Analyst NTT DATA Services is seeking a TPL Senior... ...Third Party Liability (TPL), claims processing, and recovery operations... ...Strong understanding of HIPAA and X12 EDI standards Where... ...starting pay range for this remote role is $91,260 - $152,100....Remote workEDIClaimsTemporary workLocal areaFlexible hours$85k - $100k
..., which consolidates all claim administration‑related workflows... ...more, visit Location: Remote Position Summary The Data Exchange Analyst is a crucial member of... ...and familiarity with EDI SNIP validations and one... ..., FTPS) Understanding of HIPAA compliance and other relevant...Remote workEDIClaimsWork experience placementLocal areaFlexible hours$113k - $132k
Senior Facets Integration Analyst Location: Remote Employment Type: Full-Time Job... ...of the Facets core claims platform for a healthcare Proof... ...and work closely with claims, EDI, and testing stakeholders to... ...Concept (POCs) Familiarity with HIPAA EDI transactions, including...Remote workEDIClaimsFull timeTemporary work- ...analytically driven Business Analyst with a strong... ...and Enriched Claim Status Automation Product... ...of the healthcare data landscape,... ...data and standard EDI transaction sets (2... ...user stories, process flows, and functional specifications... ...in a professional remote or in-office...Remote workEDIClaimsWork at officeLong distanceShift work
- ...Job Description As a Revenue Cycle Analyst, you will work with management and key staff... ...these variances. Summarizing information, data, and recommendations, and preparing... ...CPT/HCPC, ICD-10 coding, clearinghouse, EDI claims and remittance advice processing, and Epic...Remote workEDIClaims
- ...Job Title: Quality Analyst (Backend / Database / EDW / ETL Testing... ...Location: Primarily Remote Duration: 12 Months... ...QA) supporting a large-scale data warehouse project. The QA role... ...commercial, Medicaid and Medicare claims data, EDI X12 transactions in the healthcare...Remote workEDIClaims
$47.94 - $69.18 per hour
...where employees work remotely and from the office... ...Systems Analyst (Lead Electronic Data Interchange - (EDI) Developer) serves... ...services into Medicaid claims and managing the end... ...to‑end transaction flow. Ingest, track, and... ...Ensure compliance with HIPAA transaction standards...Remote workEDIClaimsHourly payFull timeWork at office- A healthcare services company is seeking an EDI Claims Analyst to analyze and process electronic data interchange (EDI) transactions. This remote role involves reviewing claims rejections and ensuring accurate data submission for efficient claims processing. The ideal candidate...Remote jobEDIClaims
$109.6k - $150.7k
...mobility, healthcare, energy and data centers. With revenue of... ...processes across claims, POS, inventory, and pricing... ...systems (ERP, e-commerce, EDI, and reporting) so channel data flows accurately end to end Establish... ...to augmented reality and remote healthcare. ADI fosters a...Remote workEDIClaimsPermanent employmentFull timeWork at officeLocal areaRelocation packageFlexible hoursShift workDay shift$113k - $132k
...seeking a Senior Facets Claims Integration Engineer... ...integrations. You will work remotely, collaborating with EDI, Facets, and claims stakeholders to ensure data accuracy and successful transaction flows. The ideal candidate... ...knowledge of Facets, HIPAA Gateway, and X12...Remote jobEDIClaims$40 - $45 per hour
...hire Location: fully remote Shift: M-F 9am-5pm... ...Technical Business Analyst, preferably within... ...domain expertise in claims processing, member... ...writing SQL queries for data validation and... ...reporting. Familiar with EDI data formats and... ...in a new way. Experts add insights directly...Remote workEDIClaimsContract workShift work- Solu is seeking an IT Analyst - Healthcare (Remote) to support business and technical... ...transactions, clinical systems, claims adjudication, and customer... ...needs. Develop and execute data queries using existing... ...generation tools. Experience with EDI, healthcare integrations,...Remote jobEDIClaimsWork at office
$81.4k - $145k
...Req ID: 374200 NTT DATA strives to hire... ...seeking a Quality Analyst to join our team in... ...Alabama. This can be a remote position with... ...knowledge related to Claims processing and preferably... ...experience with EDI, Healthcare data, od... ...Employer, we have experts in more than 50 countries...Remote workEDIClaimsTemporary workFor contractorsWork experience placementWork at officeFlexible hours$135.6k - $181.4k
...Association (Fully Remote, Ontario or Quebec)... ...applications and data structures, builds... ...As a subject matter expert in actuarial science... ...for unpaid claims, fee-setting processes... ...the Senior Actuarial Analysts and Actuarial Analysts... ..., and inclusion (EDI) is a key priority,...Remote workEDIClaimsFull timeWork experience placementWork at officeWork from homeFlexible hours- ...Overview Job Title: EDI Architect –... ...Cloud) Location: Remote Job Summary: We... ...background in healthcare data integration and... ...), 837 (Claims), and HL7 (Clinical... ...with business analysts, application teams... ...healthcare EDI flows. Manage... ...delivery. Support HIPAA compliance, secure...Remote workEDIClaims
- ...Business Analyst Claims (Remote) Location: Boston, MA Contract Duration: 04... ...Business Analyst with expertise in EDI and healthcare claims. Focus... ...for improving claims data processing and system performance... ...requirements documents (BRD) Process flow diagrams Technical...Remote jobEDIClaimsContract work
$85k - $100k
...we’re the start of a new age of data‑centric transformation, elevating... ...interoperability standards – HL7 FHIR, X12 EDI, or HL7 v2. Background in health IT platforms: claims processing, care quality, prior... ..., VA, however we are open to remote candidates in the following...Remote workEDIClaimsFull timeContract workWork at office$66.24k - $86.11k
...Business Analyst (QM) (Full-time, Remote, North Carolina Based) Job Category... ...to IT reporting, data integrity, and analyses... ...various sources including EDI files, HIE, State... ...liaison on Alliance Claims System development; participate... ...Communication Expert Data Analytics Expert...Remote workEDIClaimsFull timeContract workWork at officeHome officeFlexible hours- ...Job Description ^Remote Work **Must be authorized... ...Utilization Management Analyst to design, build, optimize... ..., care management, claims, and integration teams... ...Security). Experience with EDI X12 278/275 workflows... ...timelines, state TATs, HIPAA, NCQA), including...Remote workEDIClaims
- Business Analyst, Optum CES Location: Remote Employment Type: 1 month contract with possibility of extension We... ...Analystwith deep expertise in Optum Claims Editing System (CES)and integration experience... ...policies. Map and reconcile EDI transactions (837/835) with Epic...Remote workEDIClaimsContract workLocal area
- ...Content Analyst Healthcare Content Portfolio... ...: Atlanta, GA or Remote (U.S.) About Rialtic... ...with a modern, data-driven platform.... ...create high-impact claims editing rules that... ...as a subject matter expert across Medicaid, Medicare... ...Experience mapping EDI, CMS 1500 or FHIR...Remote workEDIClaimsHome office
- ...a Healthcare Business Analyst to support eligibility, benefits, claims, and provider data exchange initiatives.... ...integration patterns, and data flows to ensure alignment... ...and compliance with EDI standards. Support implementation... ...understanding of HIPAA‑standard EDI...EDIClaims
- Overview EDI Analyst I (B2B SaaS) Prompt is revolutionizing healthcare by... ...(clinical operations, data management, biostatistics, system... ...medical monitoring, RCM follow up, claim review and submission, etc.)... ...expect : Competitive salaries Remote/hybrid environment Potential...Remote workEDIClaimsFlexible hours
- HRIS Analyst III - Workday Benefits page is loaded##... ...id: JR106056**Remote Workday HRIS... ...set up and maintain EDI and integration files... ...ensure transactions are flowing correctly through... ...related to benefits.* **Data Accuracy and... ...regulations (e.g., HIPAA, ACA). + Prepare and...Remote workEDIWork experience placementLocal area
- ...leading healthcare organization is looking for a Revenue Cycle EDI Systems Analyst in Frankfort, Kentucky. In this role, you will optimize... ...experience in healthcare revenue cycles, strong knowledge of HIPAA transactions, and excellent analytical skills. This position...Remote workEDI
$160k - $170k
...: 35351 Onsite or Remote: Onsite Position Join... ...Lead SAP Business Analyst - OTC to join our... ...system-related issues Expert knowledge in sales... ...Credit and Claims Management Payment... ...Commercial master data and analytics Project... ...customization of SAP EDI solutions for quote...Remote workEDIClaimsContract workWork experience placementWorldwide
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