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
- ...Seeking an EDI Analyst responsible for implementing... ...Electronic Data Interchange (EDI)... ...ensure accurate, HIPAA-compliant data exchange... ...errors affecting claims, eligibility, and... ...troubleshoot EDI data flows. By ensuring... ...analysis skills. #LI-Remote #MPH50Remote workEDIClaimsFull timeWork at office
$72.8k - $130k
...pharmacy benefits, data and resources they... ...systems and/or Claims Payment systems and... ...their associated HIPAA X12 EDI 278 Authorization... ...The EDI Solutions Analyst ensures that the technical... ...to work remotely * from anywhere within... ...Visio (process/data flow diagrams) and...Remote workEDIClaimsMinimum wageFull timeWork experience placementLive inWork at officeLocal area$91.7k - $163.7k
Sr. EDI Solutions Analyst The opportunity is to lead trading partner... ...it to various Claims systems. The focus is... ...transactions. Analyze data and measure performance... ...Create process and data flow diagrams for assigned... ...claims submissions, EDI/HIPAA transactions, or accounts...Remote jobEDIClaimsFull timeLocal area$72.8k - $130k
...EDI Solutions Quality Assurance Analyst Optum is a global organization... ...benefits, data and resources they... ...systems and/or Claims Payment systems... ...their associated HIPAA X12 EDI 278 Authorization... ...to work remotely from anywhere within... ...(process/data flow diagrams) and Microsoft...Remote workEDIClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$62 - $65 per hour
...Data Analyst Max Supplier Bill Rate: $62-65 Remote PST No OT Must Have's: 1. Implement... ...3. Familiarity with EDI/X12 transactions (e.g.,... ...5. Understanding of HIPAA compliance and healthcare... .... 9. Experience with claims, authorizations, or eligibility...Remote workEDIClaims- ...Business Analyst Claims (Remote) Location: Boston, MA Contract Duration: 0... ...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 workEDIClaimsContract work
$113k - $132k
...seeking a Senior Healthcare Claims Integration Analyst to support healthcare... ...collaborate with teams to ensure data integrity across systems.... ...with claims processing and HIPAA EDI transactions. The position... ...extensive benefits. This role is remote and allows you to work on...Remote jobEDIClaims- ...HealthRules Configuration Analyst ***NOTE - THIS IS... ...-Gold Coast HP Claims BPO Position... ...develop or modify data, information, and functions... ...documents, process flow, work state... ...Supports development of expert users, and mentors... ...Exchange, EDI transactions, ICD-9...Remote workEDIClaimsPart time
$62.84k - $89.76k
...seeking an experienced EDI Developer responsible for... ...EDI solutions for HIPAA EDI transactions such as... ...development needs. Understand data flow and inter‑dependency... ...and Services, Claims Processing, Provider Relations... ...Position is remote; employees may be required...Remote jobEDIClaimsShift work- ...Senior Benefits Analyst We are seeking a Senior... ...role focused on data accuracy, billing... ..., eligibility, and claims. Partner with Human... ..., ACA, COBRA, and HIPAA requirements.... ...reporting and vendor EDI feeds. ~ Proven experience... ...the position is remote, the Team Member...Remote workEDIClaimsNight shift
$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- ...seeking a Tapestry UM Analyst for a 3-month... ...role will be 100% remote. Compensation: $80.... ..., care management, claims, and integration teams... ...operational and reporting data to support UM KPIs... ..., state TATs, HIPAA, NCQA, and denial/appeal... ...). Experience with EDI X12 278/275, payer...Remote workEDIClaimsHourly payPermanent employmentContract work
- ...EDI Analyst II Role and Responsibilities The EDI (electronic data interchange) Analyst II is responsible for... ...eligibility, accumulator, claim detail, and other... ...all obligations under HIPAA related to Protected Health... ...Program • Remote Work Options • Generous...Remote workEDIClaimsFull timeLocal areaImmediate startWeekend work
- ...EmblemHealth Operations REMOTE Summary of Position... ...to analyze vendor payment data. Utilize pre/post claim editing, auditing, and claim... ...expectations; and provide HIPAA-compliant guidance to business... ...per industry standards for EDI protocols required ~ Strong...Remote workEDIClaims
$48.07k - $79.37k
...RCM Enrollment Analyst Epic Workqueues & EDI The RCM Enrollment Analyst... ...that support clean claim submission, accurate... ...provider enrollment-related data in Epic (e.g., NPI,... ...(including HIPAA and CMS guidance as applicable... ...potential for fully remote work arrangements (...Remote workEDIClaimsShift work- ...Senior Test / QA Analyst This is a 4-month engagement. It's a fully remote position; candidates must be... ...experience in health plan claims testing, including... ...medical claims adjudication, HIPAA EDI transaction testing (83... ...with SQL for test data validation and backend...Remote workEDIClaimsDaily paid
$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$64k - $93k
...Summary The Business Encounter Data Analyst is responsible for... ...data and understanding the claim impact of changes and decisions... ...In You Full-time remote work Competitive salaries... ...coding. Advanced knowledge of HIPAA regulations and 837 EDI standards. Experience working...Remote workEDIClaimsFull timeWork at officeFlexible hours$47.94 - $69.18 per hour
...Information Systems Analyst - Lead EDI Developer... ...where employees work remotely and from the office... ...(Lead Electronic Data Interchange – (EDI... ...services into Medicaid claims and managing the... ...to-end transaction flow Ingest, track,... ...Ensure compliance with HIPAA transaction...Remote workEDIClaimsHourly payFull timeWork at office- ...especially in MMIS domain. In depth understanding of Claims and Claims lifecycle: Claim submission - Paper and EDI X12 Adjudication Payment Cycle (Finance)... ...to validate Test scenarios and test plans, test data. SQL: To validate data in backend tables (e....Remote workEDIClaims
- ...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
$113k - $132k
Facets HIPAA Gateway (EDI) Consultant Location: Remote Employment Type: Full-Time Job ID: 00068499631 Job Title: Facets HIPAA Gateway (EDI) Consultant... ...Experience working with Facets applications; exposure to Claims, Membership, and Product configuration is a plus...Remote workEDIClaimsFull timeTemporary work- ...Insight Global is seeking a fully remote Claims Management Analyst to join the team of one of their largest... .... This role manages Electronic Data Interchange (EDI) trading partners and a network of... .... Serving as a Subject Matter Expert, the analyst provides guidance across...Remote workEDIClaimsWork experience placement
- ...Eden Prairie is seeking a Sr. EDI Solutions Analyst to lead trading partner... ...Management systems and various Claims systems using EDI 278 transactions... ...of experience in healthcare data environments, with expertise... ...offers flexibility to work remotely within the U.S. #J-18808-...Remote jobEDIClaims
- 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
- Capital Rx is searching for a Data Exchange Analyst to join their Data Operations team. This remote role will ensure efficient healthcare data exchange and requires expertise in data integration, EDI transactions, and compliance. Ideal candidates should have a Bachelor’...Remote jobEDIClaims
- ...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 reporting... ...tools.Experience with EDI, healthcare integrations, and...Remote workEDIClaimsWork at office
$96.8k - $121k
Transformcap is seeking a Data Exchange Analyst as part of their Data Operations team. This role is critical for ensuring accurate exchange of... ...data mapping, validation, and monitoring of data feeds for claims. The ideal candidate will have a Bachelor's degree in a relevant...Remote jobEDIClaims- ...operations systems by providing operating EDI enrollment information to customers; answering... ...functions. Experience working in claims, triage, or enrollment EDI Education Level... ...who may be demanding or otherwise challenging. ***This role is 100% Remote to U.S....Remote workEDIClaimsWork experience placementWork at officeImmediate start
- ...Business Systems Analyst Philadelphia, PA / Remote CTH - 6 months for now (Client will... ...needs and define technical/data solutions. Create... ...Analyze and validate payer data (claims, membership, provider, clinical... ...systems like FACETS, EDI transactions, care management...Remote workEDIClaimsImmediate start
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