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Edi Hipaa Jobs (NOW HIRING)

Rocky Mountain Reserve

EDI Specialist

Provo, UT · On-site +1

$65K - $85K/yr

EDI Specialist Job Type: Full-time Yearly Salary: $65,000-$85,000 (DOE) Work Location: Remote ... Compliance & HIPAA Oversight: Ensure all data exchanges meet strict HIPAA security standards to ...

Rocky Mountain Reserve

EDI Specialist

Provo, UT · Remote

$65K - $85K/yr

EDI Specialist Job Type: Full-time Yearly Salary: $65,000-$85,000 (DOE) Work Location ... Compliance & HIPAA Oversight: Ensure all data exchanges meet strict HIPAA security standards to ...

Corewell Health

EDI Analyst

Grand Rapids, MI · On-site +1

This role is responsible for managing a range of EDI transactions including enrollment, claims, financial, and eligibility transactions using ANSI X12 HIPAA compliant formats. Provides technical ...

Aither Health

EDI Analyst

Amherst, NY · On-site

$60K - $80K/yr

Requirements Required Job Skills: • Understanding of XML/ANSI 834 / HIPAA X12 transactions would be beneficial. • In lieu of degree, minimum 2- 3 years proven EDI/eligibility experience • ...

EXOS

Senior EDI Developer (804198)

Indianapolis, IN

The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health ... Knowledge of HIPAA regulations (Required) * Ability to solve complex troubleshooting issues ...

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How much do edi hipaa jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for edi hipaa in the United States is $56.57, according to ZipRecruiter salary data. Most workers in this role earn between $48.08 and $65.38 per hour, depending on experience, location, and employer.

What are the main challenges faced in an EDI HIPAA position?

One of the primary challenges in an EDI HIPAA role is ensuring that all healthcare data exchanges remain compliant with strict HIPAA regulations while keeping up with evolving technology and payer requirements. EDI HIPAA professionals must frequently troubleshoot complex integration issues, remediate data mapping errors, and resolve transmission failures under tight deadlines. Collaboration with healthcare providers, payers, and IT teams is common, demanding strong communication and project management skills. Successfully navigating these challenges helps protect patient privacy and ensures seamless billing, eligibility, and claims processing across healthcare organizations.

What is an EDI HIPAA job?

An EDI HIPAA job involves managing electronic data interchange (EDI) processes related to healthcare transactions while ensuring compliance with HIPAA regulations. Professionals in this role work with healthcare providers, payers, and clearinghouses to facilitate secure electronic claims processing, eligibility verification, and payment transactions. They also troubleshoot EDI issues, map data, and ensure that all transactions meet HIPAA standards for privacy and security. Strong knowledge of EDI formats (such as X12) and compliance requirements is essential for success in this field.

What are the key skills and qualifications needed to thrive in the Edi Hipaa position, and why are they important?

To thrive in an EDI HIPAA role, you need in-depth knowledge of Electronic Data Interchange (EDI) standards, HIPAA compliance regulations, and healthcare data workflows, often supported by a degree in health informatics, IT, or a related field. Familiarity with common EDI software such as Sterling Gentran, EDIFACT, or ASC X12, along with understanding of transaction sets like 837 and 835, is crucial, and certifications in HIPAA or healthcare IT are often preferred. Strong attention to detail, analytical thinking, and effective communication help professionals manage sensitive data and collaborate with technical and non-technical teams. These competencies are critical to ensuring the secure, accurate, and compliant exchange of healthcare information between organizations.

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Edi Hipaa jobs near you
Infographic showing various Edi Hipaa job openings in the United States as of May 2026, with employment types broken down into 2% As Needed, 77% Full Time, and 21% Part Time. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $117,659 per year, or $56.6 per hour.
EDI Specialist

EDI Specialist

Rocky Mountain Reserve

Provo, UT • On-site, Remote

$65K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

Job Title: EDI Specialist
Job Type: Full-time
Yearly Salary: $65,000-$85,000 (DOE)
Work Location: Remote
Position Overview:
We are a growing third party benefits administrator dedicated to helping companies manage their employee health benefits. In this role, you will be the primary technical lead for our data exchange ecosystem, ensuring that enrollment and contribution data for FSA, HSA, HRA, and COBRA plans flow seamlessly between employers, carriers, and our administration platform. As part of a small, collaborative team, this role requires versatility and ownership across a broad range of responsibilities from high-level partner onboarding to detailed troubleshooting of daily data file transmissions.
Key Responsibilities:
  • Benefits Enrollment Management: Configure, validate, and monitor EDI 834 (Enrollment and Maintenance) transactions to ensure accurate processing of new hires, qualifying life events, and terminations across all benefit plans.
  • Partner Onboarding & Integration: Lead the technical implementation and onboarding of new employer groups and insurance carriers, establishing secure data exchange connections via SFTP, AS2, or other approved protocols.
  • Compliance & HIPAA Oversight: Ensure all data exchanges meet strict HIPAA security standards to protect Protected Health Information (PHI).
  • Data Mapping & Transformation: Develop, test, and maintain EDI maps and transformation rules to translate incoming employer and payroll data into standardized system formats, ensuring data integrity and consistency.
  • Troubleshooting & Support: Proactively identify and resolve file rejections or data mismatches before they impact employee access to their health funds.
  • Cross-Functional Collaboration: Collaborate closely with Account Management, Claims, and Operations teams to support a high-quality client experience and ensure accurate, timely data flow across systems.

Key Qualifications:
  • Bachelor's degree in Information Technology, Computer Science, or a related field.
  • 3+ years in EDI, specifically within healthcare or benefits administration
  • Knowledge of health benefits (HSA, FSA, HRA, COBRA) and the life events that trigger data changes.
  • A self-starter comfortable in a small-business environment where you own the process from start to finish.
  • Strong mastery of ANSI X12 standards, specifically 834 (Enrollment) and ideally 820 (Premium Payments).
  • Hands-on experience with EDI translation tools and SQL for data validation.
About Us:
Rocky Mountain Reserve provides employee benefits to other companies as a service. The benefits we provide to our clients are FSA, HSA, and COBRA administration. Our mission is to enable employees to save money for needed healthcare costs through these benefits. Providing outstanding customer service is paramount to that mission. We strive to make the world of health benefits easier to understand and simpler to navigate.
At Rocky Mountain Reserve our customer service team is the backbone of our company! You will play an integral role in the success and growth of our company and the reputation we have with our clients. Our Client Services Team is responsible for assisting participants via inbound calls, emails, and chats.
We pride ourselves on our team's professionalism and dedication to excellence. As we continue to grow, we are looking for a dynamic and experienced Customer Service Manager to join our team and contribute to our mission of delivering exceptional customer service.
Benefits:
  • Health/Dental/Vision Coverage
  • 401k with employer match
  • Generous PTO & Paid Holidays
  • A Monday-Friday Schedule (No nights or weekends)
  • Opportunity for growth and development.
  • The chance to be a part of a growing company that values customer service

Join us in delivering exceptional service and support to our participants and clients. We look forward to reviewing your application.

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