Senior EDI Lead & Tester — Medicaid Claims
Chandra Technologies, Inc
Chandra Technologies, Inc is seeking a Lead EDI Specialist / Tester in Raleigh, NC. This role is crucial for supporting the Managed Care Transition Project and Medicaid Reform Project. Key responsibilities include executing test scripts, conducting QA on EDI applications, and managing EDI document types. Ideal candidates will have strong expertise in HIPAA X12 EDI Transactions and must be able to work independently with minimal supervision. #J-18808-Ljbffr Chandra Technologies, Inc
- ...Services (DHHS) is seeking a Lead EDI Specialist / Tester to perform work related to... ...Specialist to support the Medicaid Reform Project. This position... ...EDI issues with encounter claims and trading partner... ...using established metrics for senior management. Effectively communicate...EDIClaimsLocal area
- ...Lead EDI Specialist NC Dept of Health and Human Services (DHHS)... ...work related to support the Medicaid Reform Project. This position... ...regarding EDI issues with encounter claims and trading partner... ...key established metrics for senior management Effectively communicate...EDIClaims
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- ...clinical interpretation and make independent decisions on health claims. This remote position allows you to work from anywhere in the... ...years of clinical experience, along with knowledge of Medicare and Medicaid regulations. You'll be part of a caring community making...SeniorClaimsRemote work
- ...managing patient accounts for all clinic visits in Halifax County, North Carolina. This role requires familiarity with billing claims to Medicaid, Medicare, and private insurers, as well as skills in resolving billing errors. The position mandates a high school diploma...SeniorClaims
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$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community... ...ensuring accurate and timely processing of claims, including denials and the maximation of... ...knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care preferred ~ Strong...ClaimsHourly payTemporary workWork at officeLocal areaImmediate startFlexible hours$69.85k - $97.09k
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...As a Revenue Cycle EDI Systems Analyst , you... ...utilized for billing and claims management. Identify... ...Familiarity with Medicare/Medicaid billing processes... ...company: CenterWell is a leading healthcare services business... ...largest provider of senior-focused primary care, a...EDIClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- A technology solutions provider is seeking an experienced EDI Architect located in Raleigh, North Carolina. The candidate should have a minimum of 10 years B2B/EDI experience and the ability to design and architect EDI solutions using Dell Boomi. Responsibilities include...EDISenior
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$22.3 - $28.8 per hour
...'s account balance is zero. The Lead, Coding & Billing is a hands-on senior individual contributor who provides... ...ensuring high-quality coding, clean claim submission, denial prevention, and... ...of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care. Bachelor's degree...ClaimsHourly payTemporary workLocal areaImmediate startFlexible hours- A leading consulting company based in Raleigh is seeking an experienced Senior Consultant specializing in EDI solutions, specifically for healthcare clients focusing on 834 and 837 transactions. Ideal candidates will possess deep expertise in healthcare data exchange, integration...EDISeniorDay shift
- A national health services organization seeks a Claims Analyst in Raleigh, NC. The role focuses on processing Stop Loss claims and requires 5 years' experience in health insurance claims. Candidates should possess strong communication and organizational skills and ideally...SeniorClaims
- Overview Lead Teams. Strengthen Billing Accuracy. Drive Revenue Excellence. We are looking... ...and ensuring compliance across Medicare, Medicaid, and Commercial payers. The Revenue Cycle... ...of Medicare, Medicaid, and Commercial claims and payments. Step in to personally...ClaimsDaily paidFull timePart timeWork at officeLocal area
$85k - $120k
A national insurance carrier seeks a claims adjuster to focus on resolving litigated commercial and homeowner property claims. Candidates should have over 5 years of experience in property claims with a focus on high exposure files. The role involves investigating claims...SeniorClaims$40 per hour
A cybersecurity training firm seeks experienced professionals to evaluate AI-generated cybersecurity content and solve technical security challenges. The ideal candidate has over 2 years of hands-on experience in various cybersecurity roles and coding skills. Strong writing...SeniorHourly payRemote work$82.4k - $123.6k
...partners (Operations, Implementation, Sales, Claims, Client Relationship Managers, Product),... ...traditional Electronic Data Interface (EDI) File Feeds to support complex client needs... ...videoconferences. Primary Job Duties: Lead Customer data integration implementations...EDIClaimsTemporary workWork at officeRemote work3 days per week- ...significant practical experience in HIPAA X12 EDI Transactions. Expert in EDI mapping for 8... ...regarding EDI issues with encounter claims and trading partner activities. Management... ...activity using key established metrics for senior management. Effectively communicate issues...EDIClaims
- ...Allstate Northern Ireland Limited is seeking an experienced Auto Field Adjuster to support claims in the Raleigh, NC area. The role requires creating damage estimates and negotiating settlements while maintaining documentation and organizational skills. Applicants should...SeniorClaimsRemote work
- ...experience working with NCFAST Two (2) years or more recent experience as a case manager in Family & Children's Medicaid Social Services experience as a Team Lead, Trainer or mentor Qualifications Strong policy knowledge in Family and Children's Medicaid...Full timeTemporary workWork experience placement
$70.9k - $76.9k
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