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Edi 837 Jobs in Indiana (NOW HIRING)

Apex Informatics

EDI Developer

Indianapolis, IN · On-site

$59.06/hr

Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA regulations * Ability to solve complex troubleshooting issues * Excellent verbal and written communication skills Preferred ...

MethodHub

Senior EDI Developer

Indianapolis, IN · On-site

Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA regulations * Ability to solve complex troubleshooting issues * Excellent verbal and written communication skills * Health Industry ...

Selerix

EDI Coordinator

Indianapolis, IN · On-site

Director, EDI Job Summary The EDI Coordinator is the entry point into the EDI job family at Selerix. This role provides the coordination and execution backbone that keeps the EDI team's work moving ...

Selerix

EDI Coordinator

Indianapolis, IN · On-site +1

Director, EDI Job Summary The EDI Coordinator is the entry point into the EDI job family at Selerix. This role provides the coordination and execution backbone that keeps the EDI team's work moving ...

Circle K

EDI Analyst

Columbus, IN · On-site

The EDI Analyst will support the implementation and maintenance of Electronic Data Interchange (EDI) systems and processes, partnering with vendors, Accounting, Pricebook, and IT teams. This role ...

Parts Town

Senior EDI Analyst

Fort Wayne, IN · On-site

$85.06 - $114.79/hr

Senior EDI Analyst (Hybrid Work Schedule) Our Senior EDI Analyst (internally known as the Senior Guardian of Trade Routes) is responsible for maintaining the highest level of support for our EDI ...

Apex Informatics

.Net Developer

Indianapolis, IN · On-site

$46 - $61/hr

Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA regulations * Ability to solve complex troubleshooting issues * Excellent verbal and written communication skills Preferred ...

All JobsEdi 837 JobsEdi 837 Jobs in Indiana

Edi 837 information

What is an EDI 837?

An EDI 837 is an electronic data interchange (EDI) transaction set used by healthcare providers to submit healthcare claim information to payers, such as insurance companies. The 837 form replaces traditional paper claim forms and streamlines the process of billing for medical services. It ensures that claims are transmitted securely, accurately, and in a standardized format, which helps reduce errors and speeds up reimbursement. There are different types of 837 transactions, including those for institutional, professional, and dental claims.

What are the key skills and qualifications needed to thrive as an EDI 837 specialist, and why are they important?

To thrive as an EDI 837 Specialist, you need a strong understanding of healthcare claims processing, EDI transaction sets (especially 837), and knowledge of HIPAA regulations, often supported by experience in healthcare IT or revenue cycle management. Familiarity with EDI translation software, clearinghouse platforms, and mapping tools like Sterling B2B Integrator or Edifecs is typically required. Strong analytical skills, attention to detail, and effective communication are essential soft skills for troubleshooting issues and collaborating with providers and payers. These skills ensure accurate and compliant transmission of healthcare claim data, minimizing errors and optimizing reimbursement cycles.

What are some common challenges faced by professionals working with EDI 837 transactions, and how can they be addressed?

Professionals working with EDI 837 transactions often encounter challenges such as ensuring data accuracy, managing compliance with HIPAA regulations, and troubleshooting rejected claims due to syntax or mapping errors. Staying updated with payer-specific requirements and understanding the nuances of healthcare claim data are crucial to minimize errors. Collaborating closely with IT, billing, and compliance teams can help resolve issues quickly and maintain smooth claim submissions. Regular training and leveraging robust EDI validation tools are also key strategies for overcoming these challenges.

What is the difference between Edi 837 vs Medical Billing Specialist?

AspectEdi 837Medical Billing Specialist
Primary RoleElectronic submission of healthcare claimsProcessing and managing healthcare billing and claims
Required SkillsKnowledge of EDI standards, coding, and claim submissionBilling procedures, coding, insurance verification
Work EnvironmentHealthcare providers, insurance companies, billing servicesMedical offices, billing companies, healthcare facilities
CertificationsOften requires knowledge of EDI standards, coding certificationsMedical billing certifications (e.g., CPC, CBCS)

While Edi 837 focuses on the electronic transmission of healthcare claims using specific standards, the Medical Billing Specialist handles the overall billing process, including claim submission, follow-up, and insurance communication. Both roles are essential in healthcare revenue cycle management but differ in scope and technical focus.

What are popular job titles related to Edi 837 jobs in Indiana?

For Edi 837 jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Edi 837 jobs in Indiana look for?

The top searched job categories for Edi 837 jobs in Indiana are:

What cities in Indiana are hiring for Edi 837 jobs?

Cities in Indiana with the most Edi 837 job openings:

Edi 837 jobs near you

EDI Developer

Apex Informatics

Indianapolis, IN • On-site

$59.06/hr

Other

Re-posted 24 days ago

Key responsibilities

  • Review and update documentation related to claims processing and EDI transactions.

  • Work with development team as a SME to support the rewriting of IDOH's ACAPS system in .Net.

  • Ensure accurate file exchanges with external trading partners and resolve EDI data transmission conflicts.

Job description

JOB SUMMARY
The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.
Key Responsibilities
  • Review update all documentation related to claims processing and EDI transactions
  • Identify incompletely documented claims processing and EDI processes, and document them
  • Work with development team as a SME as IDOH's ACAPS system is rewritten in .Net
  • Act as liaison between OTC team and the Children's program area on claims processing issues
  • Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project's goals.
  • Write technical specifications based on conceptual design and stated business requirements.
  • Test new and existing systems
  • Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.
  • Provide helpdesk level support for EDI claim transactions.

o Provide support to healthcare providers who interact with IDOH's CSHCS system
o Assist in onboarding new providers
o Assist in onboarding new clearinghouses
  • Ability to work independently with less guidance and work with ISDH externals partners as needed.

Required Qualifications
  • Bachelor's Degree in Computer Science or related fields with IT experience
  • Database knowledge
  • Understanding EDI file formats (835, 837, 210)
  • Knowledge of HIPAA regulations
  • Ability to solve complex troubleshooting issues
  • Excellent verbal and written communication skills

Preferred Qualifications
  • Health Industry experience
  • Knowledge of IBM Websphere (WTX)
  • Database/SQL experience

Education/Experience
  • Bachelor's Degree in Computer Science or related fields with IT experience

Skill Matrix
Skill
Required / Desired
Years of Experience
Response
Bachelor's Degree in Computer Science or related fields with IT experience
Required
Database knowledge
Required
5 Years
Understanding EDI file formats (835, 837, 210)
Required
5 Years
Knowledge of HIPAA regulations
Required
Ability to solve complex troubleshooting issues
Required
Excellent verbal and written communication skills
Required
Health Industry experience
Highly desired
Knowledge of IBM Websphere (WTX)
Highly desired
Database/SQL experience
Highly desired
Compliance Requirements / Client Questions
Question
Description
Response
Question 1
Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you agree to this requirement?
Question 2
Please provide candidate's email address.
Question 3
Candidate must be local to Indianapolis. Please provide current home address.
Question 4
The candidate pay rate for this position is $59.06. The Provider Markup for this position is 35%. Do you agree to these requirements?
Question 5
Selected resource will be required to work onsite 3 days per week and 2 days remote. Please confirm the resource understands this requirement.
Question 6
Initial technical interview will be via Teams. Final interview will be via Teams or in person, per the request of the manager. Please confirm the resource understands the interview process.
Question 7
Position is expected to extend past 8/15/2026. Please confirm the resource understands this requirement.

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