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Edi 837 Jobs in Virginia (NOW HIRING)

5-8 Years' Experience Must have strong experience with EDI 837 Health Care Claims processing testing Must have strong working knowledge test automation using selenium java script, python cucumber ...

Carpenter Co. has an opening for an EDI Developer at our corporate office in Richmond, Virginia . This position is onsite and is responsible for creating, maintaining, and testing mapping solutions ...

Carpenter Co. has an opening for an EDI Developer at our corporate office in Richmond, Virginia . This position is onsite and is responsible for creating, maintaining, and testing mapping solutions ...

Direct Workers' Compensation EDI experience is preferred but not required. We welcome candidates with transferable experience in insurance, claims, compliance, data analysis, or other detail-oriented ...

Familiarity with various UI frameworks like JQuery, AJAX * Healthcare experience/Familiarity with HIPAA X12 transactions, e.g 837, 834, 270, 276 * EDI Technical Mapping (ITXA/WTX Eclipse based GUI ...

Own HL7 v2.x message processing and EDI X12 transaction pipelines (837, 835, 270/271, 278) from architecture through production support. * Build and maintain federal and commercial health data ...

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Experiencewith ANSI X12 837 EDI claims processing. * Strong Exceland data analysis skills for tracking claim performance. * Familiaritywith AI-based RCM tools is a plus. * Soft Skills:

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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 Virginia?

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

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

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

What cities in Virginia are hiring for Edi 837 jobs?

Cities in Virginia with the most Edi 837 job openings:

Infographic showing various Edi 837 job openings in Virginia as of August 2026, with employment types broken down into 82% Full Time, 12% Part Time, and 6% Contract. Highlights an 78% Physical, 6% Hybrid, and 16% Remote job distribution.

Senior Tester

Palnar

Reston, VA • On-site

Full-time

Re-posted 19 days ago


Job description

5-8 Years' Experience
Must have strong experience with EDI 837 Health Care Claims processing testing
Must have strong working knowledge test automation using selenium java script, python cucumber framework
Must have strong working knowledge and experience in testing and development life cycle methodologies.
Experience in Claims processing and must be familiar with claims processing in healthcare industry.
It will be a plus if they have knowledge of Enrolment processing.
Individual must demonstrate initiative, work well independently as well as a contributing member of a team.
Should be well organized and detail oriented as well as possessing good written and oral communication skill
Experience using JIRA and/or an equivalent tool.