Facets Developer
Bahama, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Bahama, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Bahama, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Hillsborough, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Hillsborough, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Cary, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Cary, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Durham, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Durham, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Butner, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Butner, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Chapel Hill, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Chapel Hill, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Morrisville, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Morrisville, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Rougemont, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Rougemont, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Creedmoor, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Creedmoor, NC · On-site
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation. * Strong knowledge of core Facets enrollment jobs, data flow, and ...
Austin, TX · On-site
$60K - $65K/yr
Working knowledge of self-funded benefits, Section 125, SPDs, and eligibility/834 files ... Clear written and verbal communication, and comfort guiding clients through a process * Reliable ...
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Austin, TX · On-site
$60K - $65K/yr
Working knowledge of self-funded benefits, Section 125, SPDs, and eligibility/834 files ... Clear written and verbal communication, and comfort guiding clients through a process * Reliable ...
... files (837/835/834) • Knowledge of ITS claims processing (SF, DF, RF) • Experience in Member Enrollment workflows (Medicaid, Medicare, ACA) • Understanding of Billing lifecycle for member ...
... files (837/835/834) • Knowledge of ITS claims processing (SF, DF, RF) • Experience in Member Enrollment workflows (Medicaid, Medicare, ACA) • Understanding of Billing lifecycle for member ...
Norfolk, VA · On-site +1
... processes. Assess, research, analyze, and document stakeholder needs, selecting the appropriate ... Experience with EDI-834 files (Required) * Experience working with QNXT and/or Facets is nice to ...
Norfolk, VA · On-site +1
... processes. Assess, research, analyze, and document stakeholder needs, selecting the appropriate ... Experience with EDI-834 files (Required) * Experience working with QNXT and/or Facets is nice to ...
Amherst, NY · On-site
$60K - $80K/yr
... processes and needs. • Maintain a full understanding of all inbound/outbound files for assigned ... Requirements Required Job Skills: • Understanding of XML/ANSI 834 / HIPAA X12 transactions would ...
Amherst, NY · On-site
$60K - $80K/yr
... processes and needs. • Maintain a full understanding of all inbound/outbound files for assigned ... Requirements Required Job Skills: • Understanding of XML/ANSI 834 / HIPAA X12 transactions would ...
Experience in mocking and validating EDI files (837/835/834) * Knowledge of ITS claims processing (SF, DF, RF) * Experience in Member Enrollment workflows (Medicaid, Medicare, ACA) * Understanding of ...
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Experience in mocking and validating EDI files (837/835/834) * Knowledge of ITS claims processing (SF, DF, RF) * Experience in Member Enrollment workflows (Medicaid, Medicare, ACA) * Understanding of ...
Plano, TX · Remote
$53 - $71.75/hr
... of healthcare data and EDI implementations (834, 837, 835, 270/271, and related files ... Drive continuous improvement across data operations processes and workflows. * Manage documentation ...
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Plano, TX · Remote
$53 - $71.75/hr
... of healthcare data and EDI implementations (834, 837, 835, 270/271, and related files ... Drive continuous improvement across data operations processes and workflows. * Manage documentation ...
... files for different kinds of transactions sets such as 834/999/TA1. A minimum of four (4) years of ... O processes, policies and procedures. Experience in quality assurance and quality control of a ...
... files for different kinds of transactions sets such as 834/999/TA1. A minimum of four (4) years of ... O processes, policies and procedures. Experience in quality assurance and quality control of a ...
Plano, TX · On-site +1
$49.50 - $67/hr
... of healthcare data and EDI implementations (834, 837, 835, 270/271, and related files ... Drive continuous improvement across data operations processes and workflows. * Manage documentation ...
Plano, TX · On-site +1
$49.50 - $67/hr
... of healthcare data and EDI implementations (834, 837, 835, 270/271, and related files ... Drive continuous improvement across data operations processes and workflows. * Manage documentation ...
$14.18 - $17.29
19% of jobs
$17.91 is the 25th percentile. Wages below this are outliers.
$17.29 - $20.39
31% of jobs
$20.39 - $23.49
7% of jobs
$23.49 - $26.60
6% of jobs
$28.73 is the 75th percentile. Wages above this are outliers.
$26.60 - $29.70
17% of jobs
$29.70 - $32.80
8% of jobs
$32.80 - $35.90
2% of jobs
$35.90 - $39.01
2% of jobs
$39.01 - $42.11
6% of jobs
$42.11 - $45.21
1% of jobs
$45.21 - $48.32
0% of jobs
$14
$25
$48
| Aspect | 834 File Processing | 837 File Processing |
|---|---|---|
| Primary Use | Health insurance enrollment and eligibility data | Medical claims processing and billing |
| Required Credentials | Knowledge of HIPAA standards, EDI transactions | Knowledge of medical billing, coding, HIPAA standards |
| Work Environment | Healthcare insurance companies, third-party administrators | Hospitals, insurance payers, billing companies |
| Industry Usage | Health insurance enrollment and eligibility | Claims submission and reimbursement |
834 File Processing involves managing health insurance enrollment and eligibility data, while 837 File Processing focuses on submitting medical claims for reimbursement. Both require knowledge of HIPAA standards and EDI transactions, but serve different functions within the healthcare industry. Understanding these differences helps professionals specialize in either enrollment or claims processing.
Other pages related to 834 File Processing:

Bahama, NC • On-site
Full-time
This job post has expired today. Applications are no longer accepted.
We are seeking an experienced Facets Developer with strong hands-on expertise in core Facets Enrollment and Eligibility processing. The ideal candidate should have in-depth knowledge of Facets data, enrollment workflows, eligibility events, and related database tables, with the ability to explain and support the complete enrollment lifecycle.
Must Have Technical/Functional SkillsStrong hands-on experience with Facets Enrollment and Eligibility.
In-depth understanding of the end-to-end Facets enrollment process.
Ability to explain the complete enrollment flow from 834/Flat File intake through enrollment processing and ID card generation.
Strong knowledge of core Facets enrollment jobs, data flow, and processing logic.
Hands-on experience with custom development, enhancements, and production support within the Facets Enrollment area.
Strong understanding of Facets eligibility events and related database tables.
Good knowledge of Facets enrollment/member data and core database tables.
Familiarity with Facets billing-related tables and data.
Strong ability to troubleshoot enrollment and eligibility issues by analyzing Facets data and processing flows.
Develop, enhance, and support core Facets Enrollment and Eligibility processes.
Analyze and troubleshoot enrollment issues across the complete processing lifecycle.
Work with 834 and Flat File intake, enrollment processing, eligibility, and ID card generation.
Perform data analysis across relevant Facets tables and enrollment-related processes.
Develop and support custom enhancements within the core enrollment area.
Collaborate with functional and technical teams to resolve complex enrollment and eligibility issues.
Ensure accurate processing and integrity of member, eligibility, and enrollment data.
Support production issues, root-cause analysis, testing, and implementation of enrollment-related changes.