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Hipaa Edi 837 Jobs (NOW HIRING)

Understanding EDI file formats (835, 837, 210) * Knowledge of HIPAA regulations * Ability to solve complex troubleshooting issues * Excellent verbal and written communication skills * Health Industry ...

EDI Analyst

Amherst, NY ยท On-site

$60K - $80K/yr

Requirements Required Job Skills: โ€ข Understanding of XML/ANSI 834 / HIPAA X12 transactions would ... 834, 835, 837 and 27X โ€ข Intermediate knowledge of data mapping techniques and data analysis ...

Knowledge of EDI concepts and best practices in healthcare * Experience with HIPAA X12 v5010, especially: * 835 (required) * 837, 999, TA1 (preferred) * Familiarity with healthcare business processes ...

Key Responsibilities Develop and support EDI X12 transactions (834| 835| 837| 270271| 276277) Work ... Support HIPAA-compliant integrations Required Skills Strong experience in Axway Edifecs Solid ...

CBO EDI Associate

Bethesda, MD ยท On-site

$18/hr

... 837, 835, 270/271, 276/277). * Work with clearinghouses, insurance companies, and internal teams to resolve EDI-related issues. * Ensure compliance with HIPAA regulations and healthcare EDI standards.

EDI Developer

Grants Pass, OR ยท Remote

$75K - $100K/yr

Routinely working with ANSI X12 Health Plan EDI files (834, 835, 837, etc.) containing eligibility ... Familiarity with HIPAA and secure data transmission protocols * Degree or diploma in a related ...

... 837, 835, 270/271, 276/277). * Work with clearinghouses, insurance companies, and internal teams to resolve EDI-related issues. * Ensure compliance with HIPAA regulations and healthcare EDI standards.

Claims submission (837) Claims payment (835) Enrollment (834) Eligibility inquiry (270) Eligibility ... Must have working experience with HIPAA EDI X12s using TIBCO Business Connect. Experience with ...

... HIPAA X12 transactions including claims (837), remittance advice (835), eligibility (270/271 ... About the Role The Senior Billing EDI Analyst serves as an experienced individual contributor ...

Showing results 41-60

Hipaa Edi 837 information

See salary details

$38.5K

$85.1K

$135K

How much do hipaa edi 837 jobs pay per year?

As of Sep 9, 2026, the average yearly pay for hipaa edi 837 in the United States is $85,086.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $100,500.00 per year, depending on experience, location, and employer.

What is HIPAA EDI 837?

HIPAA EDI 837 is a standardized electronic format used in healthcare for submitting claims to insurance payers. The 837 transaction set is part of the Electronic Data Interchange (EDI) standards mandated by HIPAA (Health Insurance Portability and Accountability Act) for the electronic transmission of healthcare claim information. There are several versions of the 837 transaction, including 837P (Professional), 837I (Institutional), and 837D (Dental), each tailored to specific claim types. Using EDI 837 helps streamline claims processing, reduce paperwork, and ensure compliance with federal regulations.

What are some common challenges faced by professionals working with HIPAA EDI 837 transactions, and how can they be addressed?

Professionals handling HIPAA EDI 837 transactions often encounter challenges such as ensuring data accuracy, maintaining compliance with evolving regulations, and resolving claim rejections due to formatting or validation errors. To address these, it's important to stay updated on the latest EDI standards, regularly participate in training, and collaborate closely with IT and compliance teams. Additionally, leveraging robust EDI software and performing routine audits can help prevent and quickly resolve common issues, ensuring smooth claims processing.

What are the key skills and qualifications needed to thrive as a HIPAA EDI 837 specialist, and why are they important?

To thrive as a HIPAA EDI 837 Specialist, you need a deep understanding of healthcare EDI transaction sets, especially the 837 claims format, knowledge of HIPAA regulations, and experience in healthcare billing or IT. Familiarity with EDI mapping tools, clearinghouse systems, and relevant certifications like Certified Professional Biller (CPB) or Certified Electronic Health Records Specialist (CEHRS) is often required. Strong analytical thinking, attention to detail, and effective communication are vital for troubleshooting issues and collaborating with technical and non-technical teams. These competencies ensure accurate, compliant claims processing and seamless data exchange in the healthcare revenue cycle.

What is the difference between Hipaa Edi 837 vs Medical Billing Specialist?

AspectHipaa Edi 837Medical Billing Specialist
Primary RoleElectronic submission of healthcare claimsProcessing and managing medical billing and claims
CertificationsKnowledge of HIPAA, EDI standardsMedical billing certifications (e.g., CPC)
Work EnvironmentHealthcare providers, insurance companies, billing servicesMedical offices, billing companies, healthcare facilities
Industry UsageUsed by billing professionals to transmit claims electronicallyPerformed by billing specialists to ensure accurate claim processing

Hipaa Edi 837 focuses on the electronic format for submitting healthcare claims, while a Medical Billing Specialist handles the overall billing process, including claim submission, follow-up, and reimbursement. The EDI 837 is a specific standard used within the broader scope of medical billing activities performed by specialists.

What other helpful pages are available for Hipaa Edi 837?

Other pages related to Hipaa Edi 837:

Infographic showing various Hipaa Edi 837 job openings in the United States as of September 2026, with employment types broken down into 3% As Needed, 79% Full Time, 16% Part Time, and 2% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution, with an average salary of $85,086 per year, or $40.9 per hour.

IN-IDOH Senior EDI Developer

Indianapolis, IN โ€ข On-site

Techmorgonite Software Solutions LLC
Recruiting and Staffing Servicesย โ€ขย 11 - 50 employees

Contractor

Re-posted 2 days ago


Job description

The IndianaDepartment of Health (IDOH) is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS. 

 

The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider.  This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.   

Essential Duties / Responsibilities: 

• Review update all documentation related to claims processing and EDI transactions

• Identify incompletely documented claims processing and EDI processes, and document them

• Work with development team as a SME as IDOH’s ACAPS system is rewritten in .Net

• Act as liaison between OTC team and the Children’s program area on claims processing issues

• Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project’s goals.

• Write technical specifications based on conceptual design and stated business requirements.

• Test new and existing systems

• Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.

• Provide helpdesk level support for EDI claim transactions.

o Provide support to healthcare providers who interact with IDOH’s CSHCS system

o Assist in onboarding new providers

o Assist in onboarding new clearinghouses

• Ability to work independently with less guidance and work with ISDH externals partners as needed. 

 
  Required/Desired Skills   SkillRequired /DesiredAmountof ExperienceBachelor’s Degree in Computer Science or related fields with IT experienceRequired0 Database knowledgeRequired5YearsUnderstanding EDI file formats (835, 837, 210)Required5YearsKnowledge of HIPAA regulationsRequired0 Ability to solve complex troubleshooting issuesRequired0 Excellent verbal and written communication skillsRequired0 Health Industry experienceHighly desired0 Knowledge of IBM Websphere (WTX)Highly desired0 Database/SQL experienceHighly desired0