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Edi 837 Jobs in Michigan (NOW HIRING)

Tech Tammina LLC

Healthcare EDI Developer

Okemos, MI · On-site

Role: Healthcare EDI (837/Encounter) Developer Location: Okemos, MI (Hybrid, 3 days a week onsite) Duration: Long term Description: We are expanding our Encounter Development team and seeking a ...

Info Services LLC

EDI Architect

Michigan Center, MI · On-site

Senior EDI Architect - High Priority Opportunity We are looking for an experienced Senior EDI Architect with strong expertise in EDI Architecture, Enterprise Integration, Middleware, and Supply Chain ...

CFS

EDI Specialist

Grand Rapids, MI · Remote

$38 - $45/hr

EDI Specialist Compensation $38.00 - $45.00/ per hour Job Type: Full-time hours, Mon-Fri Location: 100% Remote Job Summary: We are seeking an experienced EDI Specialist to provide immediate support ...

Saanvi Technologies

EDI Architect

Dearborn, MI · On-site

EDI Architect Dearborn, MI Hybrid 4days onsite and 1day remote W2 Position Description: Employees in this job function are responsible for translating desired business capabilities into * Responsible ...

Integra Partners

EDI Engineer

Troy, MI · On-site +1

$110K - $110K/yr

We are in the middle of modernizing Integra's EDI platform, a perfect opportunity for the right skilled candidate to join in our multi-year technology initiatives. The ideal candidate for this ...

Scalence L.L.C.

EDI Architect

Dearborn, MI · On-site

C. is seeking an EDI Architect, a senior IT professional responsible for designing, implementing, and managing EDI system integrations. The role involves handling the full scope of EDI architecture ...

Deegit Inc

EDI Business Analyst

Portage, MI · On-site

We do have an urgent Position for EDI Lead . Please find the requirement below for your review. Below is the for your reference Position: EDI Analyst Location: Portage, MI Duration: 12 months • ...

krg technology inc

Axway Developer

Dearborn, MI · On-site

Well versed on designing, developing ,modifying and debugging various map types include EDI to XML, EDI to Positional, EDI to Database, XML to EDI, CSV to XML, XML to Positional) Experience on ...

U.S. Farathane

Customer Service Representative

Ann Arbor, MI · On-site

$15.75 - $21.25/hr

Visteon DDL, Valeo WEB-EDI, EDDL, etc. * Place orders for plant as back up for buyer. * Other duties as assigned. Qualifications: * High school diploma or general education degree (GED); or three to ...

US Farathane

Customer Service Representative

Orion, MI · On-site

$14.75 - $20/hr

Visteon DDL, Valeo WEB-EDI, EDDL, etc. * Place orders for plant as back up for buyer. * Other duties as assigned. Qualifications: * High school diploma or general education degree (GED); or three to ...

Dupont

Customer Service Representative

Midland, MI · Hybrid

$13.75 - $18.75/hr

Support customers with their administrative and technical questions (EDI/Capture/MyDuPont), which requires to develop a good understanding and knowledge of the products & services offered by DuPont

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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 Michigan?

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

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

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

What cities in Michigan are hiring for Edi 837 jobs?

Cities in Michigan with the most Edi 837 job openings:

Edi 837 jobs near you

Healthcare EDI Developer

Okemos, MI • On-site

Tech Tammina LLC
IT Services • 201 - 500 employees
Learn more about Tech Tammina LLCexternal

Contractor

Re-posted 18 days ago

Job description

Role: Healthcare EDI (837/Encounter) Developer

Location: Okemos, MI (Hybrid, 3 days a week onsite)

Duration: Long term

Description:

We are expanding our Encounter Development team and seeking a Healthcare EDI Developer to support enterprise encounter reporting through timely, accurate generation and submission of 837D X12 encounter files.

Job Responsibilities

  • Execute recurring operational tasks to generate encounter data files; monitor daily production jobs, troubleshoot issues, and drive error investigation through resolution.
  • Design, build, and maintain X12 EDI 837 encounter processing workflows.
  • Ensure solutions comply with HIPAA and X12 standards, including state- and client-specific implementation guides.
  • Perform unit, integration, and regression testing for EDI processes and related data flows.
  • Interpret and reconcile 999, 277, 835, and custom state/client response files associated with encounter submissions.
  • Develop and maintain data mappings between internal application data models and EDI segments/loops.
  • Implement corrective actions to remediate defects and reduce or eliminate repeat issues.
  • Partner with external clients and internal operational teams on new client implementations and changes to existing submissions.
  • Create and execute EDI test plans and provide clear, timely status updates to internal stakeholders and clients.

Experience and Qualifications

  • 3+ years of relevant experience in the healthcare industry, Dental preferred
  • 3+ years of experience in a data analyst role, preferably supporting healthcare EDI.
  • 1+ years of experience developing post-adjudication X12 837 files (required).
  • 1+ years of SQL experience.
  • Working knowledge of HIPAA X12 standards, specifically the 837 claim/encounter transaction.
  • Strong attention to detail with the ability to analyze client needs and accurately document processes.
  • Excellent analytical, troubleshooting, and communication skills.
  • Experience with IBM Sterling B2B Integrator is preferred.