Aleracare
EDI Claims Specialist
Sandy, UT
Sponsorship not specifiedDetected 22 days ago
ComplianceHIPAAICD-10CommunicationCollaboration
About the role
- The EDI claim specialist is responsible for managing and maintaining all electronic data interchange (EDI) activities between AdvancedMD, Waystar, and associated payers.
- This role ensures clean, timely, and compliant transmission of claims, remits, and eligibility files.
- The ideal candidate will serve as a central point of contact for EDI enrollments, troubleshooting, and transmission issues while supporting billing operations across multiple states and payers.
Responsibilities
- Manage and monitor EDI transmissions via AdvancedMD and Waystar, including 837, 835, 999, 277CA, and eligibility (270/271) files.
- Liaise with payer EDI departments and Waystar support to ensure file compliance and resolution of delays.
- Maintain accurate documentation of payer-specific rules, enrollment timelines, and transmission processes.
- Validate that all ERA (835) files are posting correctly and reconcile any gaps in remittance data.
- Cross-functional collaboration with RCM, credentialing, and tech support.
Nice to have
- Experience with multi-state payer setups and crosswalk management inPMS.
- Hands-on experience with AdvancedMD and Waystar clearinghouse systems.
- Working knowledge of claims workflows in infusion services or specialty clinics.
- Familiarity with ERA auto-posting logic and reconciliation.
- Experience coordinating with offshore teams or large RCM departments.
Benefits
- 401(k) Matching • Health, Vision, and Dental Insurance • Over 20 days of paid time off annually
Company info
- People-obsessed
- Relentlessly Improving
- Innovators
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This listing is sourced directly from Aleracare's careers page and normalized into a canonical job model.