EDI Specialist I

NextGen Healthcare

EDI Specialist supporting healthcare data exchanges, claims, payments, and clearinghouse operations for ambulatory practices. Troubleshooting implementations, resolving client issues, and coordinating vendors, Development, and QA.

Posted 8/5/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in EDI-related technical analysis and support, with a strong focus on process improvements, customer service, and effective communication with vendors and clients. Proficient in managing software implementations and troubleshooting issues in a fast-paced environment.

Highest-signal resume keywords

EDI Technical SupportNextGen PM SoftwareClaim ProcessingProduct TrainingNetworking Protocols

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

EDI StandardsX12 Raw Data FilesSoftware ImplementationProject ManagementAnalytical SkillsProblem-SolvingAttention to DetailResearch SkillsWindows-Based EnvironmentsMultiple Online Portals

Soft Skills

CommunicationOrganizationCustomer ServiceTime ManagementCollaboration

Industry Keywords

EnrollmentClaimsPaymentsClearinghouse ActivitiesProcess ImprovementClient SolutionsRemote WorkFast-Paced Environment

About the role

Key responsibilities & impact

Provide technical analysis and support to internal and external customers on EDI-related issues, including enrollment, claims, payments, and clearinghouse activities
Lead, coordinate, and administer process improvements for EDI implementations
Participate in the design and review of new applications and EDI systems integration strategies
Work with Development and QA to troubleshoot and resolve issues
Respond to EDI inquiries from providers and internal departments
Collaborate with third-party vendors, clearinghouses, and payers to resolve operational and transactional issues
Communicate frequently with vendors to provide client solutions
Train clients and assist the presales team with product feature demonstrations
Maintain accurate records and files, track documents, follow up, and notify clients of upcoming due dates
Research and resolve client issues
Identify process improvement opportunities and contribute to improvement initiatives
Perform other duties supporting the overall position objective

Requirements

What you’ll need

Bachelor's degree, or any combination of education and experience providing the required qualifications
1+ year working with software implementation or project management
1+ year using NextGen PM or a similar practice management software solution
2+ years of customer service experience
Experience with claim processing
Experience with product training
Fundamental knowledge of networking protocols, ISPs, internet security, and EDI standards
Knowledge of various products and multiple levels of benefits within each product
Proficiency with PCs and Windows-based environments
Technical expertise, problem-solving, research, analytical, communication, organization, and attention to detail
Ability to manage multiple tasks and prioritize in a fast-paced environment
Ability to use tools and resources to ensure functions are efficient, accurate, and timely
Ability to navigate a computer while on the phone
Ability to read and understand X12 raw data files
Ability to use multiple online portals
Ability to work remotely in Georgia

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account NextGen Healthcare Website LinkedIn All Job Openings 1001 - 5000 employees Founded 1998 🏥 Healthcare 💼 Consulting ⚕️ Healthcare Insurance 💰 Venture Round on 2015-02 Healthcare
Consulting
Healthcare Insurance NextGen Healthcare is a company that provides integrated health IT solutions to ambulatory practices. Their services include electronic health records (EHR), practice management, interoperability, patient engagement, and telehealth solutions. They aim to enhance the patient and provider experience through innovative technologies such as AI-driven workflows and mobile solutions. NextGen Healthcare also offers tailored solutions for various specialties and focuses on improving clinical and financial outcomes for their clients. They support practices of all sizes, from small offices to large enterprises, and emphasize the importance of interoperability and data exchange to enhance healthcare delivery. EDI Specialist I Job not on LinkedIn 🔥 10 minutes ago 🇺🇸 United States – Remote ⏰ Full Time 🟢 Junior 🟡 Mid-level 🦅 H1B Visa Sponsor Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Provide technical analysis and support to internal and external customers on EDI-related issues, including enrollment, claims, payments, and clearinghouse activities
Lead, coordinate, and administer process improvements for EDI implementations
Participate in the design and review of new applications and EDI systems integration strategies
Work with Development and QA to troubleshoot and resolve issues
Respond to EDI inquiries from providers and internal departments
Collaborate with third-party vendors, clearinghouses, and payers to resolve operational and transactional issues
Communicate frequently with vendors to provide client solutions
Train clients and assist the presales team with product feature demonstrations
Maintain accurate records and files, track documents, follow up, and notify clients of upcoming due dates
Research and resolve client issues
Identify process improvement opportunities and contribute to improvement initiatives
Perform other duties supporting the overall position objective 🎯 Requirements
Bachelor's degree, or any combination of education and experience providing the required qualifications
1+ year working with software implementation or project management
1+ year using NextGen PM or a similar practice management software solution
2+ years of customer service experience
Experience with claim processing
Experience with product training
Fundamental knowledge of networking protocols, ISPs, internet security, and EDI standards
Knowledge of various products and multiple levels of benefits within each product
Proficiency with PCs and Windows-based environments
Technical expertise, problem-solving, research, analytical, communication, organization, and attention to detail
Ability to manage multiple tasks and prioritize in a fast-paced environment
Ability to use tools and resources to ensure functions are efficient, accurate, and timely
Ability to navigate a computer while on the phone
Ability to read and understand X12 raw data files
Ability to use multiple online portals
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