HealthEdge
Employer Industry: Healthcare Technology Solutions
Why consider this job opportunity
Salary up to $160,000
Opportunity for career advancement and growth within the organization
Flexible remote work environment, allowing work from anywhere in the U.S.
Engage in a supportive and inclusive workplace culture
Chance to work with cutting-edge technology and contribute to impactful healthcare solutions
What to Expect (Job Responsibilities)
Act as a liaison between account teams, partners, and clients regarding EDI transactions
Monitor and manage HIPAA-compliant EDI transactions and ensure timely issue resolution
Collaborate with IT, Compliance, and Operations teams to optimize EDI workflows
Lead client meetings, status updates, and performance reviews to ensure satisfaction
Define and manage key performance indicators for EDI transactions and client expectations
What is Required (Qualifications)
Bachelor’s degree in Healthcare Administration, Information Systems, Business, or a related field
Minimum of 5 years of experience in healthcare EDI transactions, client management, or payer operations
Strong understanding of HIPAA 5010, ANSI X12, and EDI transaction sets (837, 835, 270/271, etc.)
Proficiency in EDI tools, SQL, data mapping, and reporting
Excellent communication, negotiation, and stakeholder management skills
How to Stand Out (Preferred Qualifications)
Experience in healthcare claims processing, eligibility verification, and remittance advice transactions
Strong knowledge of CMS, Medicaid, Medicare, and commercial payor regulations
Proven ability to manage client expectations and drive issue resolution
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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Why consider this job opportunity
Salary up to $160,000
Opportunity for career advancement and growth within the organization
Flexible remote work environment, allowing work from anywhere in the U.S.
Engage in a supportive and inclusive workplace culture
Chance to work with cutting-edge technology and contribute to impactful healthcare solutions
What to Expect (Job Responsibilities)
Act as a liaison between account teams, partners, and clients regarding EDI transactions
Monitor and manage HIPAA-compliant EDI transactions and ensure timely issue resolution
Collaborate with IT, Compliance, and Operations teams to optimize EDI workflows
Lead client meetings, status updates, and performance reviews to ensure satisfaction
Define and manage key performance indicators for EDI transactions and client expectations
What is Required (Qualifications)
Bachelor’s degree in Healthcare Administration, Information Systems, Business, or a related field
Minimum of 5 years of experience in healthcare EDI transactions, client management, or payer operations
Strong understanding of HIPAA 5010, ANSI X12, and EDI transaction sets (837, 835, 270/271, etc.)
Proficiency in EDI tools, SQL, data mapping, and reporting
Excellent communication, negotiation, and stakeholder management skills
How to Stand Out (Preferred Qualifications)
Experience in healthcare claims processing, eligibility verification, and remittance advice transactions
Strong knowledge of CMS, Medicaid, Medicare, and commercial payor regulations
Proven ability to manage client expectations and drive issue resolution
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
#J-18808-Ljbffr