Home › Companies › Pure Infusion › EDI Claims Specialist
EDI Claims Specialist
Pure Infusion · Sandy, UT, United States · On Site · Active · $26–$32 / hour · Rippling ATS
Job facts
| Field | Value |
|---|---|
| Company | Pure Infusion |
| Title | EDI Claims Specialist |
| Normalized title | - |
| Department / team | Revenue Cycle Management |
| Location | Sandy, UT, United States |
| Work model | On Site |
| Employment type | Full Time |
| Salary | $26–$32 / hour |
| Status | active |
| ATS provider | Rippling ATS |
| Posted / first seen | 2026-06-22 / 2026-06-23 |
| Changed / last seen | 2026-06-23 / 2026-06-23 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Pure Infusion. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Rippling ATS. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Sandy. | Open |
| Department jobs | Active postings in Revenue Cycle Management. | Open |
| Work model jobs | Active On Site postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Pure Infusion |
| Source | 4e9560bb-a891-49d7-84ff-34ace9f9a094 |
| ATS provider | Rippling ATS |
Description
company
About Pure Infusion
Pure Infusion is a leading healthcare infusion services company providing high-quality, patient-centered infusion therapy across multiple clinic locations. We have been recognized as the fastest-growing company in Utah for two years in a row as of October 2025. Born from the merger of Pure Infusion Suites and Aleracare, we are building a unified organization grounded in a strong culture of excellence, accountability, and genuine care for patients and employees alike. Headquartered in Salt Lake City, Utah, with operations spanning multiple states, we are in a pivotal stage of growth and integration and we’re looking for people who want to help shape what comes next.
If you’ve been looking for a healthcare position that truly allows you to love on, personally care for, and intentionally work with patients without the chaos of traditional healthcare systems, then Pure is likely what you have been waiting for, we hope you’ll keep reading.
OUR CORE VALUES
We live by four core values that define our culture and guide our hiring:
• People-obsessed
• Relentlessly Improving
• Innovators
• Grateful
In addition to a competitive rates, we offer the following benefits:
• 401(k) Matching
• Health, Vision, and Dental Insurance
• Over 20 days of paid time off annually
role
Position Summary:
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.
Key Responsibilities:
Manage and monitor EDI transmissions via AdvancedMD and Waystar , including 837, 835, 999, 277CA, and eligibility (270/271) files. Oversee and track EDI enrollment setup and status for new and existing payers across all states. Investigate and resolve EDI rejections , failed batches, and clearinghouse errors. Differentiate claim-content rejections — driven by claim/scrubber edits, coding errors, or payer policy and medical-policy changes — from transmission and enrollment failures, and route root cause back to billing, coding, and credentialing for correction. Liaise with payer EDI departments and Waystar support to ensure file compliance and resolution of delays. Work with internal billing, credentialing, and IT teams to ensure accurate mapping and payer ID usage in AMD. 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. Regularly review and report on EDI performance metrics , rejection rates, and trends. Assist in testing new file formats, NPI/tax ID enrollments, and payer migrations within AMD and Waystar.
Required Qualifications:
2+ years of experience with EDI in a healthcare billing or RCM environment. Strong medical billing background working command of CPT/HCPCS and J-codes, ICD-10, modifiers, units/NDC, and NCCI/MUE edits sufficient to read a 277CA or scrubber edit and identify the underlying coding or payer-policy cause of a rejection. Proven ability to manage payer-specific EDI setup and escalations. Ensure compliance with HIPAA EDI standards and internal RCM protocols. Excellent written and verbal communication, especially when working with payer tech support.
Preferred Qualifications:
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.
Work Environment:
Remote or hybrid work options available. Occasional scheduled meetings with billing team, payers, and vendors. Cross-functional collaboration with RCM, credentialing, and tech support.
Full job record
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| Org ID | 705fd95e-ec87-4fd9-a3dd-919d5aa10f31 |
| Source ID | 4e9560bb-a891-49d7-84ff-34ace9f9a094 |
| Board ID | 4e9560bb-a891-49d7-84ff-34ace9f9a094 |
| Provider | rippling |
| Provider Job Key | bd8f326c-177b-4f71-b497-ecdf3f1a2de9 |
| Title | EDI Claims Specialist |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Sandy, UT, United States |
| Department | Revenue Cycle Management |
| Team | — |
| Employment Type | full_time |
| Workplace Type | on_site |
| Remote Policy | — |
| Country | United States |
| Region | UT |
| City | Sandy |
| Salary Raw | USD 26-32 HOUR |
| Salary Min | 26 |
| Salary Max | 32 |
| Salary Currency | USD |
| Salary Period | hour |
| Source URL | https://ats.rippling.com/aleracare/jobs/bd8f326c-177b-4f71-b497-ecdf3f1a2de9 |
| Apply URL | https://ats.rippling.com/aleracare/jobs/bd8f326c-177b-4f71-b497-ecdf3f1a2de9 |
| First Seen At | 2026-06-23 09:06:42Z |
| Last Seen At | 2026-06-23 09:06:42Z |
| Last Checked At | 2026-06-23 09:06:42Z |
| Last Changed At | 2026-06-23 09:06:42Z |
| Inactive At | — |
| Source Posted At | 2026-06-22 20:46:30Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=rippling/board=aleracare/date=2026-06-23/2026-06-23T09-06-40-519Z-6ac759333f2bc00c65c4021e14285abb306b0d90d4af76a42f5146ac33a3a300.json |
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"role": "<meta><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">Position Summary:</strong></b></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">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.</span></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;text-align:center;\"></p><hr><p></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">Key Responsibilities:</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Manage and monitor EDI transmissions via </span><b><strong style=\"white-space:pre-wrap;\">AdvancedMD and Waystar</strong></b><span style=\"white-space:pre-wrap;\">, including 837, 835, 999, 277CA, and eligibility (270/271) files.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Oversee and track EDI </span><b><strong style=\"white-space:pre-wrap;\">enrollment setup and status</strong></b><span style=\"white-space:pre-wrap;\"> for new and existing payers across all states.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Investigate and resolve </span><b><strong style=\"white-space:pre-wrap;\">EDI rejections</strong></b><span style=\"white-space:pre-wrap;\">, failed batches, and clearinghouse errors.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Differentiate </span><b><strong style=\"white-space:pre-wrap;\">claim-content rejections</strong></b><span style=\"white-space:pre-wrap;\"> — driven by claim/scrubber edits, coding errors, or payer policy and medical-policy changes — from transmission and enrollment failures, and route root cause back to billing, coding, and credentialing for correction.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Liaise with payer EDI departments and Waystar support to ensure file compliance and resolution of delays.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Work with internal billing, credentialing, and IT teams to ensure accurate mapping and payer ID usage in AMD.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Maintain accurate documentation of </span><b><strong style=\"white-space:pre-wrap;\">payer-specific rules</strong></b><span style=\"white-space:pre-wrap;\">, enrollment timelines, and transmission processes.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Validate that all </span><b><strong style=\"white-space:pre-wrap;\">ERA (835)</strong></b><span style=\"white-space:pre-wrap;\"> files are posting correctly and reconcile any gaps in remittance data.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Regularly review and report on </span><b><strong style=\"white-space:pre-wrap;\">EDI performance metrics</strong></b><span style=\"white-space:pre-wrap;\">, rejection rates, and trends.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Assist in testing new file formats, NPI/tax ID enrollments, and payer migrations within AMD and Waystar.</span></li></ul><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;text-align:center;\"></p><hr><p></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\"> </strong></b></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\"> Required Qualifications:</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">2+ years of experience with EDI in a healthcare billing or RCM environment.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><b><strong style=\"white-space:pre-wrap;\">Strong medical billing background</strong></b><span style=\"white-space:pre-wrap;\"> working command of CPT/HCPCS and J-codes, ICD-10, modifiers, units/NDC, and NCCI/MUE edits sufficient to read a 277CA or scrubber edit and identify the underlying coding or payer-policy cause of a rejection.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Proven ability to manage payer-specific EDI setup and escalations.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Ensure compliance with HIPAA EDI standards and internal RCM protocols.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Excellent written and verbal communication, especially when working with payer tech support.</span></li></ul><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;text-align:center;\"></p><hr><p></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">Preferred Qualifications:</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Experience with multi-state payer setups and crosswalk management inPMS.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Hands-on experience with </span><b><strong style=\"white-space:pre-wrap;\">AdvancedMD and Waystar clearinghouse systems</strong></b><span style=\"white-space:pre-wrap;\">.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Working knowledge of claims workflows in </span><b><strong style=\"white-space:pre-wrap;\">infusion services</strong></b><span style=\"white-space:pre-wrap;\"> or specialty clinics.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Familiarity with ERA auto-posting logic and reconciliation.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Experience coordinating with offshore teams or large RCM departments.</span></li></ul><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;text-align:center;\"></p><hr><p></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"white-space:pre-wrap;\">Work Environment:</strong></b></p><ul data-pattern=\"discCircleSquare\" data-depth=\"1\" style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;margin:8px 0px;line-height:1.6;padding:0px 0px 0px 32px;list-style-type:disc;\"><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Remote or hybrid work options available.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Occasional scheduled meetings with billing team, payers, and vendors.</span></li><li style=\"margin:3px 0px 8pt;line-height:115%;font-size:11pt;letter-spacing:0.25px;\"><span style=\"white-space:pre-wrap;\">Cross-functional collaboration with RCM, credentialing, and tech support.</span></li></ul><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\"> </span></p>",
"company": "<meta><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><b><strong style=\"font-size:18pt;white-space:pre-wrap;\">About Pure Infusion</strong></b></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">Pure Infusion is a leading healthcare infusion services company providing high-quality, patient-centered infusion therapy across multiple clinic locations. We have been recognized as the fastest-growing company in Utah for two years in a row as of October 2025. Born from the merger of Pure Infusion Suites and Aleracare, we are building a unified organization grounded in a strong culture of excellence, accountability, and genuine care for patients and employees alike. Headquartered in Salt Lake City, Utah, with operations spanning multiple states, we are in a pivotal stage of growth and integration and we’re looking for people who want to help shape what comes next.</span><span style=\"color:rgb(51,51,51);background-color:rgb(255,255,255);font-size:11pt;white-space:pre-wrap;\"> </span></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">If you’ve been looking for a healthcare position that truly allows you to love on, personally care for, and intentionally work with patients without the chaos of traditional healthcare systems, then Pure is likely what you have been waiting for, we hope you’ll keep reading.</span><br><br><b><strong style=\"white-space:pre-wrap;\">OUR CORE VALUES</strong></b></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">We live by four core values that define our culture and guide our hiring:</span></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"font-size:11pt;white-space:pre-wrap;\">• People-obsessed</span><br><span style=\"font-size:11pt;white-space:pre-wrap;\">• Relentlessly Improving</span><br><span style=\"font-size:11pt;white-space:pre-wrap;\">• Innovators</span><br><span style=\"font-size:11pt;white-space:pre-wrap;\">• Grateful</span></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><br></p><p style=\"font-family:"Basel Grotesk",Arial,sans-serif;font-size:11pt;font-weight:400;line-height:1.6;letter-spacing:0.25px;margin:4px 0px;padding:0px;\"><span style=\"white-space:pre-wrap;\">In addition to a competitive rates, we offer the following benefits:</span><br><br><span style=\"white-space:pre-wrap;\">• 401(k) Matching</span><br><span style=\"white-space:pre-wrap;\">• Health, Vision, and Dental Insurance</span><br><span style=\"white-space:pre-wrap;\">• Over 20 days of paid time off annually</span></p>"
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}Get this page with API
Rendered from the bluedoor Job Postings API. Reproduce it:
GET https://api.bluedoor.sh/job-postings/v1/jobs/46a871fe5f40bf1bb6dbeb30e47eaa3b00170f58?include=descriptionJSONGET https://api.bluedoor.sh/job-postings/v1/orgs/705fd95e-ec87-4fd9-a3dd-919d5aa10f31JSONGET https://api.bluedoor.sh/job-postings/v1/sources/4e9560bb-a891-49d7-84ff-34ace9f9a094JSONGET https://api.bluedoor.sh/job-postings/v1/jobs/46a871fe5f40bf1bb6dbeb30e47eaa3b00170f58/eventsJSON