EDI Claims Specialist

Katalyst-Healthcares-; Latham (NY); Teletrabalho; USD 65 000 - 85 000; Tempo integral

Resumo da oferta

Katalyst-Healthcares- is seeking an experienced EDI Claims Specialist for a 100% remote role supporting a Massachusetts Medicaid client migration, bridging inbound claims, adjudication-system impacts, and downstream encounter reporting.

The ideal candidate has inbound claims experience, some outbound processing, and the ability to collaborate with cross-functional teams on data flows and system interfaces.

Qualificações

• Inbound claims experience required.
• Experience with outbound claims processing beneficial.
• EDI/claims data transfer knowledge required.

Conhecimentos

Inbound claims experience

Outbound claims processing

EDI/claims data transfer

Medicaid experience

Descrição da oferta de emprego

Job Title: EDI Claims Specialist

Location: 100% Remote

Employment : W2

Job Description

This resource would be supporting a project to migrate a Massachusetts Medicaid client from one claims system to another, so someone who can bridge inbound claims, adjudication-system impacts, and downstream encounter reporting would be an especially strong fit. Ideal candidate will have both inbound / outbound claims experience (stronger inbound preferred, they do have some outbound expertise on the team)