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Edi 837 Jobs in Oregon (NOW HIRING)

EDI Developer

Grants Pass, OR · Remote

$75K - $100K/yr

Routinely working with ANSI X12 Health Plan EDI files (834, 835, 837, etc.) containing eligibility, remittance, and claims. * Developing and maintaining the systems that will move confidential data ...

EDI Analyst

OR · On-site +1

EDI Analyst / Very urgent Requirment Job Type: 100% Remote job / C2C / W2 Interview Mode: Telephonic Required Skills * Evaluate information gathered from multiple sources, reconcile conflicts ...

Customer Support Representative

Eugene, OR · On-site

$16.25 - $22/hr

Familiarity with ERP systems and EDI tools (e.g., Microsoft Dynamics, SAP, SPS, or other EDI platforms). * Excellent organizational skills with the ability to manage multiple tasks and prioritize ...

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 Oregon?

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

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

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

What cities in Oregon are hiring for Edi 837 jobs?

Cities in Oregon with the most Edi 837 job openings:

EDI Developer

Allcare Health

Grants Pass, OR • Remote

$75K - $100K/yr

Full-time

Medical, Life, Retirement

Re-posted 4 days ago


Job description

* Full-time, permanent role  * $75,000 to $100,000 salary, plus project-based bonuses * Strong technical professional development training and health benefits   * Must have experience in EDI ETL processes * Set in Southern Oregon, working remotely not available    We are AllCare Health (https://www.allcarehealth.com/) - a progressive, physician-led health organization driven to make the right health care more accessible and affordable to more people. Everything we do is to serve the whole health of local communities.    Your purpose as our new EDI Developer will be to support our back-end, data-related development for our custom business applications.    Your tasks will include:   * Routinely working with ANSI X12 Health Plan EDI files (834, 835, 837, etc.) containing eligibility, remittance, and claims. * Developing and maintaining the systems that will move confidential data between stakeholders in service of health plan activity * Entering encounter data into our ERP * Drawing data for regulatory reporting, analytics, transforming into other systems, and data integration * Ensuring that security best practices are adhered to by marshalling resources to make them possible, and implementing those best practices   * Interfacing with 3rdparty APIs  * Communicating with our development team and non-technical staff   Working with AllCare: We are a high performing team drawn together in service of community health. Every day, we know that our work makes a difference for Oregonians. It also moves the national health care model forward for the country, as we’re continually on the leading edge of technology and care, making this a rewarding and exciting place to work.    We’re set in Southern Oregon, and you’d be hard pressed to find a more peaceful, picturesque place to settle down.     Here are a few other things you’ll appreciate about working here:     * A wide-open canvas for integrating modern software technologies * Full access to modern software libraries, languages and integrated development tools * A tech-forward culture with no budgetary roadblocks or restrictive bureaucracy * A supportive, mentoring, collaborative team of six with an average of 17 years of experience, which performs beyond its headcount * Self-driven learning is ingrained here, and training resources are always available. You’ll be supported to learn what you want to learn.  * You’ll have the autonomy to use whatever technology or language you believe will best serve the task at hand.  * A 401K with company contribution of 5% * Life and accident insurance, short term disability coverage * Health benefits and a wellness program   Qualifications:   Here are our must-haves:    * Experience with database administration, particularly SQL, and extensive query, view, and stored procedure building skills * Experience with C#, VB.NET  * Experience with SAP Crystal Reports * Knowledge of database normalization forms * Experience with EDI mapping tools   These would be considered assets:    * Healthcare EDI or HL7 experience * Familiarity with HIPAA and secure data transmission protocols * Degree or diploma in a related field   How to Apply:   Our online application gives you the chance to apply as more than just a resume. We’ll assess your qualifications, personality traits and workplace preferences, which should take 10 to 15 minutes to complete. After submitting, you'll be able to view your results.   We strive to build diverse teams that reflect the community, and encourage applications from underrepresented groups such as women, visible minorities, Indigenous peoples, people identifying as LGBTQ2SI, veterans, and people with disabilities.  If we can make this easier through accommodation in the recruitment process, please contact us using the “Help” button.   We will review applications, with priority given to those who have completed the assessment, and look forward to hearing from you.