- Cognizant (Phoenix, AZ)
- **About the role** As a **Sr.QA Automation Specialist - HealthCare EDI Transactions & API Testing** , you will make an impact by designing and executing ... in SQL and scripting in Linux environments. + Working knowledge of healthcare EDI transactions, especially 837 and 835 formats. **These will help you stand… more
- Integrative Emergency Services (Dallas, TX)
- …Required: + HS Diploma or GED equivalent + 3+ years of experience working in EDI and Healthcare Revenue Management or Revenue Cycle Management, with a focus on ... basic enrollment processes (ERA vs. ACH/EFT) + Working knowledge of healthcare specific EDI standards (HIPAA, X12, HL7) and transactions sets (270s, 271s, 837s,… more
- CGI Technologies and Solutions, Inc. (Raleigh, NC)
- …least 7+ years of relevant experience with strong hands-on expertise in Edifecs and healthcare EDI solutions. Must Have . Strong hands-on experience with Edifecs ... duties and responsibilities:** QUALITIES: . Analytical Skills: Ability to understand healthcare enrollment and EDI requirements, analyze complex data flows,… more
- Tetrad Digital Integrity LLC (Washington, DC)
- … experience + Experience supporting CMMC readiness or assessment activities + Healthcare EDI experience (834,837,835,270/271) TDI does business with the federal ... Systems Architect to support a large, nationally recognized, mission-focused healthcare organization serving the Veteran community. This organization operates at… more
- Baylor Scott & White Health (Temple, TX)
- …minimum qualification + EXPERIENCE - 5 Years of Experience + Preferences: ** Healthcare EDI ** Strong experience with: 837 Institutional (837I) 837 Professional ... individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core… more
- TEKsystems (Jacksonville, FL)
- …customer services teams. Skills claims processing, solutions engineering, data analysis, api, healthcare sales, presentation skills, healthcare edi Top ... as a trusted advisor with some of the largest healthcare entities in the country To be qualified for...you: Bachelor's or advanced degree in Business, Information Technology, healthcare or a related field. A minimum of 5… more
- Sharp HealthCare (San Diego, CA)
- …related to ANSI EDI file transactions.Familiar with business use of standard HealthCare file sets, including but not limited to 837s, 834s, 835s and related ... Will Do** Under the direction of the Manager of EDI Management, the Systems Analyst- EDI Mgmt will...work well under tight deadlines and multiple priorities. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified… more
- J&J Family of Companies (Raynham, MA)
- …Support, Business Behavior, Communication, Document Management, Electronic Medical Records (EMR), Healthcare EDI , Healthcare Management, Health Care ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where...uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,… more
- MSys Inc. (Raleigh, NC)
- …the State: + Provides technical support during and after implementation for healthcare electronic data interchange applications + Responds to inquiries regarding ... EDI issues with encounter claims and trading partner activities...and needs with internal business partners, external vendors, and healthcare providers + Develops and maintains cross walking and… more
- Philips (Cambridge, MA)
- The EDI Specialist plays a key role in Philips's ...until everybody everywhere has access to the quality of healthcare that we all deserve. Do the work of your ... EDI organization, leveraging deep knowledge of EDI processes and the SAP PO environment. This DevOps role involves developing new solutions and supporting… more
- ManpowerGroup (Westlake, OH)
- …+ Experience with health insurance companies or understanding of claims transactions and Healthcare EDI standards. **What's in it for me?** + Opportunity to ... work on complex and impactful software projects. + Collaborative and inclusive work environment that values diverse perspectives. + Professional growth through mentorship and leadership opportunities. + Engagement in strategic planning and system architecture… more
- Waystar (Atlanta, GA)
- …Suite + Good written and oral communication skills; team player + Experience with EDI and/or healthcare transactions required + Ability to travel up to 20% ... to deliver accurate, timely claim edit/authorization rule configurations. * Studying healthcare industry standards and staying up-to-date on industry changes and… more
- Deloitte (Fresno, CA)
- …with HIPAA and other regulations + Basic knowledge of messaging formats used in healthcare integration (HL7, EDI , CSV, XML, etc.) + Experience working in the ... Epic Tapestry application with external systems. Solid understanding of healthcare claim processing workflows, including eligibility, adjudication and payment… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- … healthcare payer domain. . Strong understanding of FHIR standards, HL7, EDI transactions, and healthcare information exchange models. . Hands-on experience ... **Senior Business System Analyst - Healthcare ** **Category:** Business Analysis (functional and technical) **Main...profiling and mapping for clinical and administrative datasets (eg, EDI 837/835, 270/271, CCDA, FHIR resources). . Support test… more
- Waystar (Lehi, UT)
- …Office Suite + Good written and oral communication skills; team player + Experience with EDI and/or healthcare transactions desired + Ability to travel up to 50% ... obtaining prior authorizations from payer sites, and understanding and intepreting EDI responses from payersProven leadership and issue resolution abilities + Strong… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …with Microsoft TFS/ Azure DevOps, preferred. + Additional Preferred Experience: Healthcare industry experience, EDI formats (Claims, Enrollment, Eligibility), ... Web services testing experience, Batch jobs testing experience, Facets, EDIFECS, Biztalk experience **Skills and Abilities** + Must have demonstrated ability to analyze and solve logical problems such as those found in mathematics, statistics, etc. +… more
- AmeriHealth Caritas (Newtown Square, PA)
- …deadlines and provides full support to other areas such as Accounting, EDI , Enrollment, Encounters, Healthcare Apps, Statutory and the Actuarial departments. ... comply with state requirements as they occur. + Prepare EDI 820 premium payment files, EDI 835...and data files required. + 2 years experience in healthcare finance and/or financial reporting, preferred. + Strong communication… more
- Insight Global (Fountain Valley, CA)
- …understanding of HIPAA transaction sets High-level project management experience Minimum 5 years of experience in EDI operations within a healthcare environment. ... include the following: lead the design, implementation, and maintenance of EDI workflows within Epic Tapestry, configure and support Enrollment File interfaces… more
- Insight Global (Brentwood, TN)
- …* Familiarity with payer/hospital contracts, coding (ICD, CPT, HCPCS). * Knowledge of EDI files and healthcare transactions (837, 835). * Financial analysis ... relationship and leadership abilities. * Knowledge of HIPAA, payer reimbursement, healthcare terminology. * Technical understanding of databases and data exchange.… more
- Insight Global (Rosemont, IL)
- …databases and API design and architecture * Experience designing or developing healthcare interoperability solutions utilizing either EDI or HL7 standards. * ... Experience with Postman or Swagger for API endpoint interactions. * Advanced T-SQL skills for querying database objects. * Proficiency in JIRA and Confluence for managing SCRUM/Agile projects and documentation. * Proficiency with Lucid, Visio, or Miro to… more