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Remote Edi Hipaa Jobs in California (NOW HIRING)

Breg

Senior Customer Care Representative

Carlsbad, CA · Remote

$24 - $31/hr

... Interchange (EDI), while maintaining On-Time In Full (OTIF) Service Level Agreements (SLA ... Attends annual required Health Insurance Portability and Accountability Act (HIPAA) training and ...

All JobsEdi Hipaa JobsRemote Edi Hipaa JobsRemote Edi Hipaa Jobs in California

Remote Edi Hipaa information

What is a Remote EDI HIPAA specialist?

A Remote EDI HIPAA Specialist is a professional who manages and monitors the electronic exchange of healthcare information in compliance with HIPAA regulations, while working remotely. They ensure that electronic data interchange (EDI) transactions, such as insurance claims and patient records, are securely transferred between healthcare providers, payers, and other entities. Their role involves troubleshooting data transmission issues, maintaining data privacy and security, and ensuring all processes adhere to HIPAA standards. Strong knowledge of healthcare data formats, EDI standards, and federal privacy laws is essential in this position.

What are the key skills and qualifications needed to thrive as a Remote EDI HIPAA specialist?

To thrive as a Remote EDI HIPAA Specialist, you need in-depth knowledge of electronic data interchange (EDI), healthcare transaction sets (such as 837 and 835), and strong familiarity with HIPAA compliance requirements, often supported by a relevant degree or certification. Proficiency in EDI mapping tools, transaction monitoring systems, and healthcare management software like X12, Sterling Gentran, or similar platforms is essential. Excellent analytical skills, attention to detail, and strong communication make you stand out when troubleshooting issues and collaborating with payers or providers remotely. These skills are crucial to ensure accurate, secure, and compliant healthcare data transactions in a virtual environment.

What are some common challenges faced by Remote EDI HIPAA professionals, and how can they be managed effectively?

Remote EDI HIPAA professionals often encounter challenges such as ensuring secure data transmission, maintaining compliance with constantly evolving HIPAA regulations, and troubleshooting EDI transaction errors without onsite support. To manage these effectively, it's important to stay updated on regulatory changes, utilize secure communication tools, and develop strong documentation and troubleshooting skills. Regular communication with IT, compliance, and healthcare partners is also key to resolving issues promptly and maintaining smooth operations.

What is the difference between Remote Edi Hipaa vs Remote Medical Biller?

AspectRemote Edi HipaaRemote Medical Biller
CertificationsHIPAA compliance, EDI standardsMedical billing certifications (e.g., CPC, CPC-H)
Work EnvironmentElectronic data interchange processing, compliance-focusedBilling, coding, and insurance claim submission
Industry UsageHealthcare, insurance, EDI providersHealthcare providers, billing companies
Search/Comparison IntentFocus on HIPAA and EDI compliance rolesFocus on billing and coding tasks

Remote Edi Hipaa specialists primarily handle electronic data interchange and HIPAA compliance, ensuring secure transmission of healthcare data. Remote Medical Billers focus on submitting insurance claims and coding. While both roles work remotely in healthcare, EDI Hipaa roles emphasize data security and standards, whereas Medical Billers concentrate on billing processes and reimbursements.

What are popular job titles related to Remote Edi Hipaa jobs in California?

For Remote Edi Hipaa jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Edi Hipaa jobs in California look for?

The top searched job categories for Remote Edi Hipaa jobs in California are:

What cities in California are hiring for Remote Edi Hipaa jobs?

Cities in California with the most Remote Edi Hipaa job openings:

Remote Edi Hipaa jobs near you
Infographic showing various Remote Edi Hipaa job openings in California as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 20% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

Senior HRIS and Benefits Specialist

Fred Finch Youth & Family Services

San Diego, CA • On-site, Remote

$93K - $119K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 15 days ago

Job description

Senior HRIS and Benefits Specialist

Fred Finch Youth & Family Services | Oakland, CA or San Diego, CA (Hybrid) | Full-Time, Exempt

__________________________________________________________________________________________________________________________________________________

Make Your HR Expertise Matter

For over a century, Fred Finch Youth & Family Services has been changing the trajectory of young lives - providing behavioral health, education, and family support services to some of California's most vulnerable youth and families. None of that work happens without the people behind the people: an HR team that takes care of the employees who take care of our community.

We're looking for a Senior HRIS & Benefits Specialist who wants their technical skills to serve something bigger than a system upgrade. You'llbe the architect behind the benefits, data, and workflows that let our direct-care staff focus on what they do best - showing up for kids and families every day.

Thisisn't just a system administration role. It's a chance to build something from the ground up: our UKG implementation still has meaningful configuration and workflow work left from launch, and you'll be the one who takes it from functional to fully optimized - with real autonomy and real visibility to leadership.

What You'll Do

  • Serve as primary system administrator for UKG - configurations, security roles, user access, upgrades
  • Audit the current UKG implementation and build a prioritized optimization roadmap with the VP of HR
  • Design and deploy automated workflows that reduce manual effort across HR
  • Administer all employee benefit plans (health, dental, vision, life) and lead annual Open Enrollment
  • Serve as primary liaison to carriers, the 401(k) provider, and third-party administrators.
  • Manage EDI feeds between UKG and benefit carriers, ensuring accurate,timely, HIPAA-compliant data exchange
  • Ensure compliance with ERISA, COBRA, FMLA, ADA, Section 125, and ACA, including required filings
  • Build HR reports, dashboards, and analytics; support EEO-1, ACA, and other regulatory reporting
  • Train HR staff and end users on HRIS functionality and best practices

What You Bring

  • Minimum 5 years of progressive HRIS experience, including hands-on system administration, configuration, and workflow development
  • Demonstrated experience managing EDI integrations between an HRIS and benefit carriers or TPAs
  • Experience conducting HRIS audits and implementing system improvements
  • Direct experience with UKG Pro or UKG Ready
  • Bachelor's degree in HR, Information Systems, Business Administration, or related field (equivalent experience considered)
  • Strong Excel and data management skills
  • Experience implementing or optimizingan HRIS system

Preferred

  • Direct experience UKG Ready
  • UKG Pro/Ready certification
  • SHRM-CP/SCP, PHR/SPHR
  • Experience in a nonprofit, healthcare, or human services setting

Location Requirement

Mustresidein Alameda County, San Diego County, or an adjacent California county.

Ifyou'rean HR technology professional who wants your work to mean something beyond the system itself,we'd love to hear from you!

Compensation:$93,330 - $119,115.36 annually

Schedule: Monday-Friday, 8:00 am-5:00 pm, hybrid at management's discretion. No fully remote positions at FF.

Join our team as: Senior HRIS and Benefits Specialist

Fred Finch Youth & Family Services (FF) is an Equal Opportunity Employer. FF does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

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