EDI Claims Specialist

1 day ago


Bengaluru, Karnataka, India beBeeedi Full time ₹ 9,00,000 - ₹ 13,00,000

Job Summary

We are seeking a skilled EDI Claims Professional to join our organization. In this role, you will be responsible for designing, implementing, and maintaining Electronic Data Interchange (EDI) systems that support healthcare claims processing.

Main Responsibilities:

  • Design, develop, and maintain EDI transactions including 837 (claims), 835 (remittance advice), 277 (claim status), 999 (acknowledgment), and other related transaction sets.
  • Evaluate and improve existing EDI processes.
  • Support the onboarding of new trading partners, including EDI map configuration and connectivity setup.
  • Monitor and analyze EDI transmissions to identify and perform root cause analysis of failed transactions.

Required Skills and Qualifications:

  • Strong experience in EDI systems implementation within the U.S. Healthcare domain.
  • In-depth understanding of HIPAA compliance, ANSI X12 EDI standards, and healthcare claims processes.
  • Hands-on experience with EDI mapping tools and integration platforms.
  • Excellent problem-solving and analytical skills.

About This Role

This position offers an exciting opportunity to contribute to healthcare technology solutions that impact patient care and operational efficiency.


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