EDI Specialist
Weekday AI
EDI Specialist
harriscomputer· Bizmatics India Private Limited
About this role
Business Unit:
Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we remain dedicated to partnering with RCM companies that offer diverse solutions and address today's most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we improve financial performance and patient experience, helping to build sustainable healthcare businesses.
Key Responsibilities:
Manage end-to-end EDI transactions (837, 835, 270/271, 276/277, 278) for claims and remittances.
Onboard and manage payers and clearinghouses; ensure EDI compliance and testing.
Analyze and resolve transaction errors, rejections, and denials.
Oversee EDI integration with billing and EHR/PM systems.
EDI profiles understanding data elements, segments, and loops within an EDI file are structured and interpreted.
Setting up new clients
Insurance Master Import. EDI configuration setup (SFTP and BIZUDS).
SFTP notifications (SFTP blocking). Monitoring EDI folders for pending files.
Billing Sanity check for Upgraded/shifted RCM Clients. Claims (EDI837/837i) related issue.
Eligibility Issues (EDI270 and EDI271). Acknowledgements EDI997 and EDI277 Issues.
Remittances EDI835 issue and resolution.
Resolution on Rejections and Denial issues.
Coordination with Clearinghouses.
Patient Statement Setup.
Resolv RCM Client Termination Process.
Coordinate with the engineering team regarding problems and enhancements.
Miscellaneous Activities.
Qualifications:
Bachelor’s degree in IT, Healthcare, or related field.
5–7 years of healthcare EDI experience with RCM exposure.
Knowledge of HIPAA, X12 transaction sets, and payer workflows.
Strong problem-solving, communication, and vendor management skills.
Work Mode: Office Hybrid
Shift Timings: 6pm-3am (Night Shift)
Location: Mumbai(Vikhroli)
Skills/ Behavioural Skills:
Problem-Solver: Identifies and resolves healthcare billing discrepancies.
Organized: Manages high volumes of medical remittances efficiently.
Clear Communicator: Effectively discusses payment issues with healthcare teams.
Analytical: Understands healthcare financial data and denial patterns.
Benefits:
Annual Public Holidays as applicable
30 days total leave per calendar year
Mediclaim policy
Lifestyle Rewards Program
Group Term Life Insurance
Gratuity
...and more!
Frequently Asked Questions
Is the salary disclosed for the EDI Specialist position at harriscomputer?
The salary for this EDI Specialist role at harriscomputer is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the EDI Specialist position at harriscomputer located?
This EDI Specialist role at harriscomputer is based in Office - Mumbai (Vikroli). The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the EDI Specialist role at harriscomputer full-time or part-time?
This is listed as a Full time position. It is posted as a EDI Specialist role in the Bizmatics India Private Limited department at harriscomputer.
Which team or department does the EDI Specialist at harriscomputer belong to?
This EDI Specialist position is part of the Bizmatics India Private Limited department at harriscomputer. See the full job description for more information about the team structure and responsibilities.
How do I apply for the EDI Specialist position at harriscomputer?
Click the "Apply Now" button on this page. You will be redirected to harriscomputer's official application portal hosted on workday where you can submit your application directly.
When was the EDI Specialist job at harriscomputer posted?
This EDI Specialist position at harriscomputer was posted on Aug 4, 2026. Apply as soon as possible — early applications are often reviewed first.
EDI Specialist
harriscomputer
You'll be redirected to harriscomputer's official application page on Workday.