Hire the Best EDI Specialists

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Travita D.

Yorkville, Illinois

$90/hr
4.3
23 jobs

EDI professional with 20+ years of experience with extensive knowledge of EDI standards, mapping standards, trading partner setup, and end-to-end testing. Experience working with various VAN’s (Open Text, Liasion, GHX, etc.) and EDI Providers (SPS Commerce, True Commerce, PipeChain, etc.) Background serves the Healthcare, Warehousing, Transportation, 3PL, Retail, and Grocery industries. Expert of gathering business requirements, and streamlining processes. Highly skilled to create and implement EDI best practices/processes/procedures as well as root cause analysis. Knowledgeable with both WMS and TMS, as well as numerous ERP’s ( NetSuite, Prelude, P21, Kinetic). Experience consists of managing EDI relationships, testing, post support production, establishing and maintaining EDI communications (VAN, FTP, SFTP, HTTP, AS2), and overseeing the day-to-day EDI tasks. Highly familiar with the following transaction sets: 110, 180, 204, 210, 211, 212, 214, 270, 271, 310, 315, 810, 812, 820, 824, 832, 837, 844, 845, 846, 849, 850, 852, 855, 856, 864, 867, 880, 888, 889, 940, 943, 944, 945, 947, 990, and 997.

  • Electronic Data Interchange
  • SQL
  • Transportation & Warehousing
  • Project Management
  • Healthcare IT
  • EDIFACT
  • Information Technology
  • SAP ERP
  • ASC X12
  • Back-End Development
  • System Analysis
  • Third-Party Integration
  • Root Cause Analysis
  • Troubleshooting
  • Third-Party Logistics
Saqib G.

Islamabad, Pakistan

$15/hr
4.8
39 jobs

Hello, I extend my best wishes for your well-being and health. My name is Saqib Gardezi, and I specialize in practice revenue recovery, credentialing and medical billing services with 99.9% successful result . Also, I am providing comprehensive credentialing services for all specialties like mental health and substance use disorder, dental, emergency rooms, diagnostic laboratories, home health and hospice, primary care physician and specialist clinics with a decade of experience in various states. My focus is on securing 100% in-network approvals with all insurance companies across any state, all at competitive rates. I am a research analyst ✅Medical Billing and Coding I have worked on all functions of medical billing and also did quality checks for the same. I have also prepared a training manual for AR and payment posting. I have great experience working on the below-mentioned functions of Medical billing. ✅Patient Registration ✅Insurance Verification ✅Pre Authorization Request and verification ✅Charge Posting / Superbill review ✅Evaluation of valid HCPCS codes, ICD 9-10 and Modifier ✅Fixing Rejected Electronic claims ✅Checking clearinghouse reports (Phicure, Trizetto, availity and Navinet) ✅Provider PIN calling (for verifying provider TAX id, NPI, and billing address) ✅EOB and check search via websites and batches ✅Payment Posting of Insurance and Patient ✅AR Follow up on denied claims via call or websites ✅Appeal project ✅Collection / Refund / Over-Payment ✅Scheduling new patients Project Specialization ✅Credentialing & Enrollment Experience Practice and provider credentialing, re-credentialing with all US government, commercial, managed-care payers/insurances of any provider or practice specialty. ✅Medicare, Medicaid, Medicare & Medicaid plans and commercial insurance and plans enrollment ✅Follow up on submissions of all enrollment every week ✅Getting Type 1 and Type 2 NPI through NPPES registry ✅ERA and EFT enrollments ✅Contract negotiations and fee schedule settlements ✅CAQH up to date, NPPES up to date and weekly track the issues and communicate with front office and providers. ✅Provider Directory maintenance ✅Maintain spreadsheet with following dates tasks regarding progress enrollment follow-up. ✅Daily & Weekly basis provider communication regarding enrollment concerns, missing information, and latest updates on enrollments. ✅Providers and NP’s/PA’s Hospital affiliation paper work and approval with any of desired hospital ✅Software Experience (PM and EMR) Work Experience of Software I have work experience with the below software mentioned in medical billing. I have excellent grasping power, so it does not take much time to navigate new software. I am comfortable and adaptive with using many different types of medical billing software. 1. Waiting Room Solutions 2. AdvancedMD 3. Zen desk 4. Xifin 5. Phicure 6. Trizetto 7. EZ Claim 8. Office Ally 9. Kareo 10. Simple Practice 11. Care Cloud 12. Brightree 13. Collaborate MD 14. Ipatient Care 15. Limbs ✅Major follow up Insurance 1. Medicare 2. Medicaid 3. BCBS 4. Aetna 5. UHC 6. Cigna 7. Molina (Medicare, Medicaid and marketplace plans) 8. Tricare 9. ChampVA 10. Humana 11. Guardian 12. Oxford 13. Workers Compensation Ability to control multiple assignments and tasks by identifying their level of importance • I have the ability to listen, writing and speaking effectively. • I have excellent interpersonal abilities that help me maintain a good relationship between my employer and colleagues. I am willing to be trained and open to learning new things. I am a fast learner and self-motivated. Looking forward to working with you

  • Electronic Data Interchange
  • Data Entry
  • Electronic Funds Transfer
  • Electronic Medical Record
  • Medical Mastermind Medical Billing Services
  • Medical Billing & Coding
  • Medical Report
  • Medical Procedure Coding
  • Software
  • Medical Referrals
  • Telemedicine
  • Insurance
  • Insurance Claim Submission
  • Insurance Verification
  • Legal Practice Management
Bhavesh G.

Hyderabad, India

$35/hr
5.0
6 jobs

⚡ Modern healthcare platforms must be secure, interoperable, and AI-ready, not just functional. 𝐈 𝐚𝐦 𝐚 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐈𝐧𝐭𝐞𝐫𝐨𝐩𝐞𝐫𝐚𝐛𝐢𝐥𝐢𝐭𝐲 & 𝐀𝐈 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐬𝐭 𝐰𝐢𝐭𝐡 𝟕+ 𝐲𝐞𝐚𝐫𝐬 𝐨𝐟 𝐞𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 𝐛𝐮𝐢𝐥𝐝𝐢𝐧𝐠 𝐇𝐈𝐏𝐀𝐀-𝐜𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐭 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐩𝐥𝐚𝐭𝐟𝐨𝐫𝐦𝐬, 𝐄𝐇𝐑 𝐢𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐢𝐨𝐧𝐬, 𝐚𝐧𝐝 𝐢𝐧𝐭𝐞𝐥𝐥𝐢𝐠𝐞𝐧𝐭 𝐚𝐮𝐭𝐨𝐦𝐚𝐭𝐢𝐨𝐧 𝐬𝐲𝐬𝐭𝐞𝐦𝐬. I help healthcare organizations design secure, scalable, and AI-enhanced solutions that improve clinical workflows, operational efficiency, and patient outcomes. Clients trust me when accuracy, compliance, and smart system design are critical. 🏥 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐈𝐧𝐭𝐞𝐫𝐨𝐩𝐞𝐫𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞 • EHR/EMR integrations using FHIR & HL7 messaging (ADT, ORU, ORM) • SMART on FHIR workflows and healthcare APIs • Integration with Epic, Cerner, AthenaHealth, eClinicalWorks, Meditech, Allscripts, PointClickCare, NextGen • Healthcare standards: CCD/C-CDA, CDS Hooks, HEDIS, CQM • Clearinghouse & billing integrations (EDI 837/835/270/271/276/277/999) • Medical coding systems: ICD-10/11, SNOMED, LOINC, CPT → Designed for secure data exchange and real clinical environments. 🤖 𝐀𝐈-𝐏𝐨𝐰𝐞𝐫𝐞𝐝 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐒𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐬 I integrate modern AI technologies to improve healthcare workflows and productivity: • Clinical document intelligence & data extraction • NLP-driven healthcare automation • Semantic healthcare search pipelines • AI-assisted decision support features • Retrieval-augmented healthcare knowledge systems Modern AI engineering stack: OpenAI • LangChain • Vector search pipelines • Automation workflows Cursor AI for context-aware coding acceleration GitLab AI-assisted DevOps & CI/CD workflows → Built with compliance awareness and secure healthcare data handling. 🚑 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐏𝐥𝐚𝐭𝐟𝐨𝐫𝐦 𝐃𝐞𝐯𝐞𝐥𝐨𝐩𝐦𝐞𝐧𝐭 • HIPAA-compliant telemedicine platforms • Remote patient monitoring with IoT/BLE devices • Appointment & engagement systems • ePrescribing and pharma integrations • Practice management & decision support systems ☁ 𝐒𝐞𝐜𝐮𝐫𝐞 𝐀𝐫𝐜𝐡𝐢𝐭𝐞𝐜𝐭𝐮𝐫𝐞 & 𝐂𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐜𝐞 • HIPAA, PHIPA, PIPEDA compliant system design • Secure authentication & healthcare messaging • Audit-ready architecture 💻 𝐓𝐞𝐜𝐡𝐧𝐢𝐜𝐚𝐥 𝐒𝐭𝐚𝐜𝐤 Backend: Java, Spring Boot, Node.js, microservices Frontend: Angular, React Database: PostgreSQL, MySQL, MSSQL, Oracle Communication: WebRTC, Twilio, healthcare APIs ✨ 𝐖𝐡𝐲 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐂𝐥𝐢𝐞𝐧𝐭𝐬 𝐂𝐡𝐨𝐨𝐬𝐞 𝐌𝐞 ⭐ Compliance-first engineering mindset ⭐ Deep interoperability expertise ⭐ AI-enhanced healthcare workflows ⭐ Scalable, production-grade architecture ⭐ Clear communication and ownership I build healthcare systems where security, reliability, and intelligent automation directly impact real-world care. 🚀 Ready to Build an AI-Enabled Healthcare Platform? If you need a healthcare expert who understands interoperability, compliance, and modern AI, I am ready to help. Let us build something secure, scalable, and future-ready.

  • Python
  • Java
  • API Integration
  • FHIR
  • HIPAA
  • Third-Party Integration
  • Telemedicine
  • Electronic Medical Record
  • Mirth Connect
  • Healthcare IT
  • Science & Medicine
  • Health Level 7
  • Electronic Health Record
  • Health & Fitness
  • Healthcare Interoperability
Chandan S.

New Delhi, India

$25/hr
4.8
51 jobs

A proven track record in full-stack web and mobile application development, I help startups and enterprises build scalable, secure, and AI-powered applications from idea to production. I work closely with clients throughout the entire product lifecycle — from requirement analysis and architecture design to UI/UX, development, deployment, and scaling. My experience spans modern JavaScript frameworks, Python/Node/,NetCore based backends, cloud infrastructure, and AI-driven development workflows, enabling me to deliver solutions that are both technically robust and business-focused. I have successfully built simple MVPs to complex enterprise platforms across industries such as Healthcare, FinTech, Logistics, Marketplaces, and Social Platforms. ✅ Healthcare expert ✅ Custom EMR/EHR development ✅ Interoperability - FHIR/HL7 ✅ PACS/DICOM ✅ LIMS ✅ Health Insurance & Claim Management ✅ HIPAA/GDPR ✅ Ready to start immediately! ✅ High Quality and strong Skills. Domain Expertise: Healthcare- HIPAA, HIX, EMR-EHR, PMS, FHIR, HEDIS, CCDA, EDI, ICD-10/11, CPT, SNOMED, Meaningful use (MU) 1,2,3, Compliance, HL7, Telehealth, Telemedicine, Homecare, m-Health, Medication/Care Management, Wearable integration, Medical Billing, Clinical Analytics, Insurance, Preventive, Wellness, Health risk assessment Experienced in integration of multiple EHR’s to the healthcare applications like GE Centricity, Allscripts, EPIC, iKnowMed, Cerner, Athena marketplace, eClinicalWorks, NextGen, Greenway etc. I have proficiency in the full life cycle of solution development (end to end) business requirements, functional and technical specifications, data modelling transactional and dimensional data, ETL, data analysis solutions, dashboards, scorecards, and reports. Using tools like Info Sphere Data Architect, Cognos Business Intelligence, IBM Cognos Report Studio, IBM Cognos Framework Manager. With a special focus on the US Healthcare Industry, I do provide wide range of services in the industry that can be summarized as follows: -- RCM -- Electronic Medical Record (EMR) Development -- Electronic Health Record (EHR) System Development -- Billing System, DICOM Viewer -- Healthcare Interoperability, -- HIPAA Consultancy, -- Meaningful use (MU) Certification, -- HL7 Messaging, -- CCDA, FHIR, HEDIS -- Telemedicine Our offerings ---------------- -HIT Software Development Service -LIMS for comprehensive lab workflow management -HIPAA Consultancy and HEDIS measures implementation. -Healthcare Interoperability Modules & HL7 Messaging (ADT, ORU, ORM, etc.) -EMR/EHR Systems -Certifications and Compliance (MU Certification) -Seamless Integration with Radiology, Laboratory, and Pharmacy Systems -Billing Management and EDI Processing Systems (EDI 837, 835, 270, 271, 276, 277, 999 etc.) -Medical Coding Database Management (ICD9, ICD10, SNOMED, RxNorms, NDC, LOINC, CPT, HCPCS, E/M, PQRS) -DICOM Viewer & PACS Solutions -Provider Networking & Credentialing -Tele-Health, Tele-Medicine, Remote monitoring -Mobile applications and device Integration In sync with the latest standards and technologies in the Industry, you can expect the excellence in all the aspect of IT Services & Solutions, be it Security (from HIPAA point of View), Turn Around Time (for innovative products), Cost-Effective, Industry-oriented, and User-Friendly.

  • Electronic Data Interchange
  • ASP.NET Core
  • FHIR
  • Medical Imaging
  • Angular
  • Telemedicine
  • LIMS
  • Healthcare Interoperability
  • API
  • Electronic Medical Record
  • HIPAA
  • Health Level 7
  • React
  • DICOM
  • Node.js
Sean H.

Austin, Texas

$150/hr
4.8
96 jobs

I am a US-based NetSuite consultant focused on helping companies optimize, automate, and scale their NetSuite environments before and after go-live. I have nearly a decade of NetSuite experience and have worked across 150+ end-to-end implementations, optimization projects, integrations, reporting builds, and post-implementation support engagements. I hold an MBA from the Texas McCombs School of Business and bring a strong finance, accounting, and operations lens to NetSuite projects. My goal is not just to “make NetSuite work,” but to design practical systems that support accounting teams, operations teams, executives, and day-to-day users. NetSuite Certifications Include: SuiteFoundations Certified NetSuite Administrator Certified NetSuite ERP Consultant Certified Financial User Certified SuiteAnalytics User NetSuite Services Include: NetSuite Administration Saved Searches, Reports, KPIs, and SuiteAnalytics Workflows and Approval Routing Dashboards, Roles, Permissions, and User Access SuiteScript Support and Troubleshooting Suitelets, User Events, Scheduled Scripts, and Map/Reduce Scripts CSV Imports and Data Migration Implementation and Post-Go-Live Optimization Custom Records, Fields, Forms, and Segments Accounting, Inventory, Order-to-Cash, and Procure-to-Pay Processes Integrations with platforms such as Shopify, BigCommerce, Celigo, Avalara, EDI, SFTP, and APIs Employee Training, Documentation, and Walkthroughs Month-End Close Support and Process Improvement I specialize in helping businesses that already use NetSuite but need a senior resource to clean up issues, improve reporting, automate manual work, support accounting operations, troubleshoot errors, or make the system easier for employees to use. I have experience working with companies across eCommerce, wholesale distribution, manufacturing, nonprofit, professional services, and other industries. Whether you need help fixing a saved search, improving an approval workflow, supporting an integration, cleaning up data, training users, or designing a scalable NetSuite process, I can provide hands-on support with a practical business-first approach.

  • NetSuite Development
  • Balance Sheet
  • Accounts Receivable
  • Administrative Support
  • NetSuite Administration
  • Oracle NetSuite
Jazz T.

Quito, Ecuador

$10/hr
5.0
6 jobs

Stop wasting time on technical support; that is MY job. You lead the vision, I maintain the platform. Stop fighting with technology and start using it to your ADVANTAGE! 🚀 I could tell you about my 5+ years as a Systems Engineer supporting 900+ users across enterprise and education environments. I could mention my Master’s degree, my ITIL v4 Certification, or my promise of absolute satisfaction... but I won't. :) 💼Instead, let me share the exact strategies I use to provide my clients with IMPECCABLE support for your technological PEACE OF MIND: -VIP White-Glove Support: Specialized assistance for EXECUTIVES. I handle the details; you focus on the BIG decisions. -Omnichannel & Remote Help: Instant solutions via AnyDesk/TeamViewer across Chat, Email, or Phone. -Preventive Strategy: SMART monitoring to ensure your operation NEVER stops. Prevention over reaction. -Human-Centric Training: I translate "tech-speak" into simple terms for STRESS-FREE, productive users. -LMS/Moodle: Expert in bulk enrollment and UX-focused course configuration. -Technical VA & Ops: I don't just manage tasks; I OPTIMIZE processes with Engineering precision. -Flawless Meetings: Expert setup and support for Teams, Zoom, and Webex. Technical management is SIMPLE. But it’s not easy, and it’s definitely TIME-CONSUMING. If you don't want to spend your day dealing with these headaches, you've come to the right place. As a valued client, you don't just get GUARANTEED satisfaction; you get a STRATEGIC partner and exceptional support. If you are looking for someone who is expert, CREATIVE, and highly organized—look no further. My fuel? A good cup of coffee and SATISFIED clients. ☕✨ If you understand that TIME IS MONEY, let’s talk. Just shoot me a message to discuss your project details. 📩 (🛠️ Tools and Ecosystems: Microsoft 365 & Entra ID (Azure AD) | Ticketing Systems | Connectivity | Collaborative Platforms)

  • IT Support
  • Moodle
  • Microsoft Office
  • Technical Support
  • Helpdesk
  • Troubleshooting
  • Virtual Assistance
  • Data Entry
  • Email Communication
  • Administrative Support
  • HTML
  • Tech & IT
  • Managed Services
  • Microsoft Outlook
  • ITIL
  • Remote Connection Support
  • Ticketing System
  • Microsoft Active Directory
  • QA Testing
  • Mobile App Testing

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At A Glance: EDI

The exchange of information between companies and organizations is an important aspect of business in the modern age. Problematically, large amounts of information and data oftentimes need to be passed between several different companies or users, and frequently these users may not be in the same country. For this purpose, a strict set of formatting standards has been developed and used over the last 30 years to help reduce the burden on companies to process and store this data. Electronic data interchange (EDI) differs from standard electronic communication in that the data is formatted to specific standards and transmitted from the originator to the receiver without human interaction. The benefits of EDI include reduced costs and more efficient business communications.

EDI specialists and consultants are those professionals who have experience with automated business systems like warehouse inventory or shipping standards, and a deep knowledge of the different EDI standards currently available. An EDI specialist or consultant can help you determine which aspects of your business can benefit from the implementation of EDI, and help you select the EDI standard that most effectively meets your needs. Because an EDI system, by definition, only relies on computer interfacing, an EDI specialist or consultant is a cost-effective means to apply these techniques for your business. The integration and application of an EDI system through the guidance and expertise of an EDI specialist and consultant can help optimize any automated business communication needs you may have.