edi manager jobs in Philadelphia

The Manager of Enrollment Services is responsible for ensuring accurate, complaint, and timely processing of enrollment transactions across Medicare Advantage, Medigap, ACA Individual Consumer, and Commercial Group channels. This includes oversight of enrollment activities conducted within IBC platforms and vendor systems such as Advantasure, Health...

DIRECTOR OF BILLING AND REVENUE CYCLE MANAGEMENT We’re Palco. We provide the management, support, and systems behind self-directed programs—the services that help people hire, pay, and manage their own caregivers with confidence. With 25+ years of experience as a national provider operating in over 17 states, we keep people at the center of everything...

Position Overview:The Business Rule Management Analyst is responsible for ensuring the accurate, timely, and compliant submission of encounter data to the State. This position performs ongoing monitoring, analysis, and resolution of encounter errors and works collaboratively with Claims, IT, Business Owners, and other stakeholders to identify root causes and...

Position: EDI Specialist Location: Philadelphia, PA Duration: 6+ Months Job Description Specific Duties/Requirements · Requires an extensive knowledge of EDI Portal and managing inbound EDI enrollment file activity. · Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity...

A Client Innova Solutions Is Immediately Hiring for EDI Specialist Position type: Contract Duration: 06 Months Location: Philadelphia, PA As an EDI Specialist you will: Requires an extensive knowledge of EDI Portal and managing inbound EDI enrollment file activity. Responsible for ensuring successful transfer of inbound EDI enrollment data to include...

 Position SummaryCBH is seeking an experienced Sr. Software Engineer with deep healthcare technology expertise to lead the design, development, integration, modernization, and support of enterprise healthcare applications and integration platforms.This role combines hands-on technical leadership with team leadership responsibilities. The ideal candidate...

The Infogix Developer works with the Project Manager, other developers, architects, and other stakeholders involved to implement Infogix controls and reports required by the business. This role will require knowledge in Infogix Assure and Insight application. The candidate must be capable of understanding business requirements, working with stakeholders...

Join Deloitte's SAP practice and build a career at the forefront of business transformation, where innovation, industry insight, and leading technology come together to solve complex challenges. You'll work with dynamic teams and leading organizations to modernize core processes, enable digital transformation, and help clients unlock lasting value through...

Customer experience specialists are a key business team member who provide potential and existing customers with exceptional services. They identify customer needs, respond to customer queries, and collaborate with internal departments to optimize customer services and brand awareness.   Core Responsibilities: Manage the order to cash process and engage...

Job Overview We are a fast-growing healthcare technology company that is committed to delivering innovative solutions that help healthcare providers with the burden of prior authorization to improve access to high quality, affordable healthcare. We were founded in 2022 by five healthcare professionals with over 60 years of combined industry experience.You...

Job Description: The MuleSoft Developer works with the Project Manager, architects, clients and other stakeholders involved to implement MuleSoft APIs and workflows required by the business. This role will require knowledge in MuleSoft's Anypoint Studio and Anypoint Platform which includes Design Center, Runtime Manager, API Manager, Exchange,...

About Us AGE Solutions is a premier technology and professional services company, providing in-depth consulting, advanced technology solutions, and essential services throughout the U.S. government, defense, and intelligence sectors. Prioritizing innovation and client-focused solutions, we assist major agencies in addressing intricate issues and ensuring a...

Description*Equal Opportunity Employer Veterans/Disabled* SUMMARY: The Integration Engineer role focuses on designing, developing, and maintaining enterprise integration solutions using the Boomi platform to enable reliable, scalable data exchange across critical business systems. The ideal candidate has at least 5 years of experience with the Boomi platform...

Description*Equal Opportunity Employer Veterans/Disabled*   SUMMARY: This individual will add to the effectiveness of the entire organization by help to ensure streamlined usage of our Infor M3 platform. They will administer major configurations, provide change and security controls, and serve as an in-house expert and escalation point for the...

About Us: Perpay is a certified B Corp and Philadelphia’s most impactful growth-stage startup. We are driven by a mission to significantly improve the financial stability of everyday Americans. For the past decade, we have established strong product-market fit and a profitable, efficient operating model across a suite of products, positioning Perpay as the...

Number of Positions In Requisition1 Job DetailsThe Payment Research Representative is responsible for proper handling and reconciliation of payments received throughout the Jefferson Revenue Cycle Enterprise. Working closely with Payment Representatives, Accounting and Finance, the Payment Research Rep will investigate and resolve issues impacting cash...

Title: IDEAS FellowDepartment: People & CultureReports to: Chief Culture & People OfficerPosition SummaryAt The Philadelphia Orchestra and Ensemble Arts (POEA), Inclusion, Diversity, Equity, and Access Strategies (IDEAS) are not separate initiatives. They are foundational to who we are, how we lead, and how we serve our communities. IDEAS is embedded in our...

Responsibilities:Have an understanding of how to update manual enrollment transactions in Health Rules/Proof. Have a basic understanding of ACA Consumer business and basic CMS, and Compliance Regulations.Review complex outbound CMS files (including 834, 820, pre-audit, and RCNI/Discrepancy files) to develop best practices for analysis, reconciliation...

We are seeking an experienced Facets Integration Developer to support the development, enhancement, and integration of healthcare payer systems centered around the TriZetto Facets platform. The ideal candidate will have strong experience in designing and developing integrations between Facets and enterprise applications, leveraging APIs, middleware, ETL...

Vice President of Bill Review Operations About the Company Innovative healthcare solutions provider specializing in insurance services Industry Insurance Type Privately Held Founded 2004 Employees 501-1000 Categories Insurance Specialties bill review out-of-network repricing primary ppo and alternative repricing administration edi and...