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Edi 837 Jobs in Raleigh, NC (NOW HIRING)

... 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 • High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions • Strong understanding of ...

... for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 • Develop and execute test scripts related to X12 Transmission Conducts QA and Testing on EDI applications Develop and execute Test scripts ...

Responsibilities : • High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions. • Expert in EDI mapping for 837, 277CA, 834, 835, TA1 ...

Edi 837 information

See Raleigh, NC salary details

$37.4K

$82.7K

$131.2K

How much do edi 837 jobs pay per year?

As of Aug 28, 2026, the average yearly pay for edi 837 in Raleigh, NC is $82,711.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,700.00 and $97,700.00 per year, depending on experience, location, and employer.

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 Raleigh, NC?

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

What job categories do people searching Edi 837 jobs in Raleigh, NC look for?

The top searched job categories for Edi 837 jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Edi 837 jobs?

Cities near Raleigh, NC with the most Edi 837 job openings:

Infographic showing various Edi 837 job openings in Raleigh, NC as of August 2026, with employment types broken down into 87% Full Time, 3% Part Time, and 10% Contract. Highlights an 82% Physical, 6% Hybrid, and 12% Remote job distribution, with an average salary of $82,711 per year, or $39.8 per hour.

Full-time

Re-posted 12 days ago


Job description

Job Summary:
InterSources Inc is a Certified Diverse Supplier and an Award-Winning Global Software Consultancy that provides innovative solutions for Digital Transformations. The Lead EDI Tester will be responsible for developing and executing test scripts related to EDI transmissions, ensuring quality assurance, and collaborating with partners to resolve issues.
Responsibilities:
• Expert in developing and executing test scripts related to X12 EDI Transmission
• Demonstrated proficiency in conducting QA and testing on EDI applications
• Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions
• Strong understanding of healthcare claims processing - Claims, Provider, Eligibility
• Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
• Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• Working knowledge of Medicaid and/or MMIS.
• Excellent verbal and written communication skills with the ability present to both technical and business audiences.
• Proven experience in processing and monitoring all inbound and outbound X12 transactions
• Knowledge of Agile Methodology.
• Experience in collaborating with EDI partners to resolve transmission problems.
Qualifications:
Required:
• Expert in developing and executing test scripts related to X12 EDI Transmission
• Demonstrated proficiency in conducting QA and testing on EDI applications
• Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions
• Strong understanding of healthcare claims processing - Claims, Provider, Eligibility
• Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
• Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• Working knowledge of Medicaid and/or MMIS.
• Excellent verbal and written communication skills with the ability present to both technical and business audiences.
• Proven experience in processing and monitoring all inbound and outbound X12 transactions
• Knowledge of Agile Methodology.
• Experience in collaborating with EDI partners to resolve transmission problems.
Company:
InterSources Inc. solves operational problems where protection, performance, compliance, AI, and workforce capability must work together. Founded in 2007, the company is headquartered in Fremont, USA, with a team of 501-1000 employees. The company is currently Late Stage.

InterSources logo

About InterSources

Sourced by ZipRecruiter

In 2007, Our journey began as pioneers in the realm of technology and security. Since then, InterSources Inc. has evolved into a trusted partner, leading the way in Cloud Security, Cybersecurity, PLG Consulting, Digital Transformation, and Professional Services. With a rich history of excellence and a forward-thinking approach, we continue to secure your digital future and drive innovation. Explore our legacy of success and discover the possibilities that lie ahead.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Fremont, CA, US

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