Jobs → Customer Support → EDI Claims Implementation Specialist

About the Role We are looking for an experienced EDI Claims Implementation Specialist to join our team. This role focuses on implementing and managing electronic data interchange systems for healthcare claims. Key Responsibilities • Handle inbound claims EDI processing including 837 intake, mapping, validation, and routing • Manage healthcare insurance claims, eligibility, and accumulators • Process 837 encounter reporting including extraction, submission, acknowledgments, and reconciliation • Support claims system migration and implementation projects Requirements • Strong inbound claims EDI experience with 837 standards • Healthcare insurance claims, eligibility, and accumulators experience within the last 4 years • 837 encounter reporting experience • Claims system migration or implementation experience • MassHealth/Medicaid experience is a strong plus