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Healthcare IT Integration Engineer – OpenEMR & Clearinghouse Job Type: Freelance / Contract Work Location: Remote Working Hours: PST hours required Hourly Rate: $5–$10/hour Contract Type: Long-term, milestone-based contract Start: Urgent / Immediate Weekend Availability: Required About the Role We are urgently looking for a Healthcare IT Integration Engineer with hands-on experience in OpenEMR, medical billing, clearinghouse integrations, healthcare EDI, and Microsoft Azure. This is a long-term freelance opportunity with milestone-based work. We need someone who can start immediately, work during PST hours, and be available on weekends when needed, especially during the initial implementation and troubleshooting phase. Responsibilities Configure, administer, and support OpenEMR. Integrate OpenEMR with medical billing clearinghouses such as Availity, Office Ally, Waystar, Change Healthcare, or Experian Health. Configure and troubleshoot healthcare EDI/X12 transactions: 837 claims 835 remittance 270/271 eligibility 276/277 claim status Support medical billing and Revenue Cycle Management workflows. Build and maintain REST API integrations. Support HL7 and FHIR integrations when required. Deploy and maintain applications on Microsoft Azure and AKS. Manage Docker containers and Kubernetes deployments. Work with MySQL/MariaDB and Linux environments. Maintain CI/CD pipelines using GitHub Actions or Azure DevOps. Troubleshoot production, billing, API, and integration issues. Maintain HIPAA-compliant and secure healthcare systems. Document technical workflows and integration procedures. Required Skills OpenEMR or similar EMR/EHR experience Healthcare IT and medical billing experience Clearinghouse integration experience EDI/X12: 837, 835, 270/271, 276/277 Revenue Cycle Management (RCM) REST APIs PHP MySQL/MariaDB Linux Microsoft Azure Azure Kubernetes Service (AKS) Docker and Kubernetes Git and CI/CD HIPAA and healthcare data security Nice to Have HL7 and FHIR Mirth Connect / NextGen Connect Availity Office Ally Waystar Change Healthcare Experian Health Azure DevOps GitHub Actions Terraform Azure Monitor Azure Key Vault Azure Container Registry Contract Details This is a long-term, milestone-based freelance contract. The hourly rate is $5–$10/hour, depending on experience. We are hiring urgently, so preference will be given to candidates who can: Start immediately Work during PST hours Work this weekend if needed Respond quickly during active implementation Commit to a long-term working relationship When Applying Please include: Your OpenEMR or EMR/EHR experience Clearinghouses you have worked with Experience with 837/835/270/271/276/277 Azure/AKS/Docker/Kubernetes experience Your PST availability Your weekend availability Your hourly rate How soon you can start Examples of similar healthcare integration work
Project ID: 40673428
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79 freelancers are bidding on average $13 USD/hour for this job

Hello, As a 15+ year veteran in the field, my ability to turn complex technical requirements into efficient and secure systems is an asset well-suited to this project’s needs. My extensive experience with OpenEMR, medical billing, clearinghouses like Availity and Change Healthcare, healthcare EDI and similar integrations resonates with the precise skillset your job description calls for. Adept at troubleshooting and maintaining production systems, I am confident in my ability to provide timely, effective problem resolution throughout the entire production process. Adhering to best practices for client satisfaction, I consistently deliver clean, maintainable code - a factor critical for long-term project viability which aligns directly with your goal of a well-oiled system that is robust enough to withstand any challenges. Moreover, my proficiency in MySQL/MariaDB, Linux and Microsoft Azure dovetails perfectly with the required technologies for deploying and maintaining applications. When it comes to security and data integrity (essential in healthcare technology), I always ensure strict compliance with HIPAA regulations. To top it all off, I bring to the table my proven commitment to building strong client relationships which extends beyond just delivering the goods but goes further by also offering long-term support. Become part of my long list of satisfied clients and experience quality work at an attractive pricing structure tai Thanks!
$30 USD in 36 days
8.6
8.6

Hi, I reviewed your urgent need for an OpenEMR Integration & Clearinghouse specialist to configure, administer, and troubleshoot OpenEMR plus medical billing clearinghouse and EDI/X12 workflows. I’ll integrate OpenEMR with clearinghouses like Availity/Office Ally/Waystar and handle 837 claims, 835 remittance, 270/271 eligibility, and 276/277 claim status via REST API and secure data flows. I’ll also manage MySQL/MariaDB on Linux, build CI/CD automation with GitHub Actions or Azure DevOps, and deploy on Microsoft Azure using Docker, Kubernetes, and AKS. I focus on clean, HIPAA-aware implementations, fast production debugging, and clear documentation so your teams can move confidently. Let’s discuss here now.
$15 USD in 25 days
8.4
8.4

Dear , We carefully studied the description of your project and we can confirm that we understand your needs and are also interested in your project. Our team has the necessary resources to start your project as soon as possible and complete it in a very short time. We are 25 years in this business and our technical specialists have strong experience in PHP, MySQL, Moodle, Database Development, Docker, Kubernetes, Microsoft Azure, CI/CD and other technologies relevant to your project. Please, review our profile https://www.freelancer.com/u/tangramua where you can find detailed information about our company, our portfolio, and the client's recent reviews. Please contact us via Freelancer Chat to discuss your project in details. Best regards, Sales department Tangram Canada Inc.
$20 USD in 5 days
8.8
8.8

I have hands-on experience configuring and supporting OpenEMR along with integrating it into billing clearinghouses like Availity and Office Ally. In a past project, I streamlined 837 and 835 EDI transactions to improve claims processing accuracy, which led to faster payments and fewer denials. I am comfortable working in Microsoft Azure and managing AKS clusters with Docker containers. Setting up CI/CD pipelines using GitHub Actions in a HIPAA-compliant environment is routine for me. I have also resolved production issues quickly by analyzing API and EDI flow errors. Regarding your project, can you share which clearinghouses and EDI transactions are the initial priority? Do you currently have existing API integrations that need improvement or fresh builds from scratch? I’m ready to jump in immediately, fully available during PST hours and weekends to ensure smooth implementation and fast troubleshooting. Let’s start with a milestone plan that covers setup, integration, and validation of billing workflows.
$8 USD in 7 days
5.9
5.9

The hardest part of an OpenEMR-to-clearinghouse integration isn't the connection itself, it's that a malformed 837 claim can get silently rejected days later, so troubleshooting has to trace the full lifecycle - from OpenEMR generation through EDI transmission to 835 remittance - not just confirm the API call succeeded. My approach: I'd validate OpenEMR's billing config against your clearinghouse's X12 requirements before touching live claims, since 837 rejections usually trace back to mismatched provider/payer identifiers at the EMR level, not transmission. For 270/271 eligibility, I'd log both raw request and response, since failures often hide in X12 payload formatting the parsed summary won't show. For 276/277, I'd add reconciliation logic flagging claims stuck pending past a threshold, so issues surface early instead of during a billing audit. Deployment I'd containerize on AKS with separate staging/production, testing EDI changes against sandbox endpoints before real claims - a bad 837 batch is costly to unwind. HIPAA compliance via Azure Key Vault for credentials and encrypted data at rest, with CI/CD gating any billing-logic deployment behind automated tests. I have hands-on OpenEMR and healthcare EDI experience across 837/835/270/271, and I'm available PST hours including weekends through initial implementation. Which clearinghouse are you currently using or planning to integrate first?
$8 USD in 40 days
5.8
5.8

Hi, I am a healthcare integration developer with 8 years of rich experience in software development, with a background in EMR/EHR integrations, billing workflows, and cloud infrastructure. I am familiar with OpenEMR, PHP, MySQL/MariaDB, REST APIs, EDI/X12 837/835/270/271/276/277, HL7/FHIR, Docker, Kubernetes, Azure/AKS, Linux, CI/CD, and HIPAA-focused security. I can help configure and support OpenEMR, troubleshoot clearinghouse integrations, maintain healthcare EDI/API workflows, and manage the Azure, Docker, and Kubernetes environment. I can start immediately and work PST hours, including weekends when needed. I'm an individual freelancer and can work on any time zone you want. Please contact me with the best time for you to have a quick chat. Looking forward to discussing more details. Thanks.
$15 USD in 40 days
4.9
4.9

Hi, there - Truong here. "OPENEMR INTEGRATION SUPPORT" — you need healthcare workflows connected and running reliably. I would focus on understanding the current OpenEMR setup first, then work through integrations, APIs, database flows, and deployment issues without disrupting existing operations. For healthcare systems, the key details are secure data handling, reliable EDI transactions, and careful testing before any production changes. I can help with backend integrations, Docker-based environments, MySQL systems, and API troubleshooting while keeping documentation clear for future maintenance. Which part needs attention first: OpenEMR configuration, clearinghouse/EDI connections, or Azure deployment and infrastructure? Looking forward to working with you.
$12 USD in 40 days
4.8
4.8

I noticed your need for an OpenEMR integration specialist, and my recent project involving a similar HL7 v2.x interface build for a mid-sized clinic leveraging Mirth Connect and direct API integrations mirrors your requirements. I successfully streamlined their patient demographic and encounter data flow to a third-party EHR, achieving a 98% first-pass acceptance rate for claims. My approach will focus on robust HL7 message parsing and transformation using Mirth Connect, ensuring strict adherence to healthcare EDI standards (v2.x, ADT, ORM, ORU messages). I'll develop custom routing and transformation logic within Mirth, coupled with secure SFTP or AS2 protocols for clearinghouse communication. For Azure integration, I'll leverage Azure Logic Apps or Functions for automated data ingestion and processing, ensuring scalability and reliability. To ensure alignment, could you clarify the specific clearinghouse(s) you currently utilize and any existing Azure infrastructure for healthcare data processing? I'm available for an immediate consultation to discuss how my expertise can accelerate your integration goals.
$15 USD in 7 days
3.7
3.7

I understand that successful OpenEMR integration depends on accurate claim workflows, secure PHI handling and traceable clearinghouse responses—not simply sending X12 files. I can review the current OpenEMR environment, interface architecture, Azure deployment and outstanding integration issues, then define a controlled first milestone. My approach will map claim creation through 837 submission, acknowledgement, 276/277 status and 835 remittance posting, with validation, duplicate prevention, audit logs, retries and secure credential management. Azure services, Docker/AKS, MySQL, APIs and CI/CD will be documented and tested without exposing PHI. I’m prepared to begin with a technical audit and one clearly defined transaction flow before expanding further. Please share the current OpenEMR version, clearinghouse, implementation status and immediate blocker.
$10 USD in 50 days
3.4
3.4

Your stack is mostly stuff I work with daily. PHP, MySQL, Docker, Kubernetes, REST APIs, CI/CD with GitHub Actions, Linux administration. I've run containerized deployments on AWS and could transfer that to AKS without much friction. 10+ years doing this kind of infrastructure and integration work. Where I'd be honest with you -- the healthcare-specific layer (EDI/X12 transactions, clearinghouse integrations with Availity or Office Ally, RCM workflows) isn't part of my daily work. I've built plenty of complex API integrations and data pipelines that handle strict compliance requirements, but I haven't wired up 837 claims or 835 remittance files specifically. If you need someone who's done that exact loop before on day one, better to filter now. What you'd get from me is someone who picks up domain-specific protocols fast because the underlying patterns (structured data exchange, validation, error handling, secure transport) are things I've done hundreds of times across other industries. I'm in LA, available PST hours and weekends during implementation sprints. Can start this week. If that gap is workable for you, I'm down to do a quick walkthrough of your current OpenEMR setup and show you how I'd approach the integration side.
$12 USD in 7 days
3.4
3.4

Hi there, I've worked extensively with OpenEMR deployments and clearinghouse integrations, particularly with Availity and Office Ally on the 837/835 workflows. I've also built and maintained EDI pipelines on Azure, so I understand the specific friction points between claims submission, remittance processing, and the systems that need to talk to each other reliably. The urgent timeline and weekend availability requirement tells me you're likely in active implementation or troubleshooting. One thing worth clarifying upfront: are you looking for someone to stabilize an existing integration that's having issues, or building this out from scratch? The approach differs significantly, especially around whether we're debugging existing clearinghouse mappings or designing the transaction flows from the ground up. I'm available PST hours and can start immediately. I've handled similar healthcare integration work across both the infrastructure and EDI configuration sides, and I'm comfortable troubleshooting in production environments while maintaining HIPAA compliance. If this sounds like a fit, I'd like to understand more about your current setup and what's blocking you most right now. kind regards, Corné
$8 USD in 40 days
3.6
3.6

Hi there, The hard part is not just integrating OpenEMR with clearinghouses; it’s ensuring compliance and security throughout the process. With my experience in healthcare IT, particularly with EDI transactions like 837 claims and 835 remittance, I can navigate these complexities efficiently. I’m well-versed in deploying applications on Microsoft Azure and managing Docker containers and Kubernetes, which aligns with your requirements. I’m available during PST hours and can commit to weekend work for the initial implementation phase. Could you clarify which specific clearinghouses you prioritize for integration? Thank you.
$12 USD in 40 days
3.4
3.4

★•══•═★ Hi client ★•══•═★ I read through your requirements and honestly, this feels like someone finally wrote a job post that matches exactly what I do every day. OpenEMR, clearinghouses, EDI — that's my home turf. I've worked with OpenEMR extensively, including custom modules and billing workflows. I've integrated it with clearinghouses like Office Ally and Availity, handling the full X12 stack — 837 claims going out, 835 remittances coming back, plus 270/271 and 276/277 transactions. I know the pain points too, like when a claim gets rejected for a tiny formatting issue that takes hours to trace. On the infrastructure side, I'm comfortable with Azure and AKS, Docker, Kubernetes, and CI/CD pipelines. I've deployed healthcare apps on Azure with proper HIPAA considerations — Key Vault for secrets, Azure Monitor for alerts, that kind of thing. PHP and MySQL are second nature to me, and I've lived in Linux terminals for years. I'm available to start immediately and can work PST hours. Weekends? Yes, I can be there during the critical implementation phase. I treat production issues like a small fire — I don't sleep well until it's out. I keep documentation clean because future-you will thank present-you. And I communicate clearly, so you're never guessing what's happening. Do you want to hop on a quick call to discuss your current setup and what's urgent this weekend?
$12 USD in 40 days
3.2
3.2

Hola, He trabajado con PHP, MySQL, APIs REST, Docker, Kubernetes y despliegues en Azure, especialmente en sistemas donde las integraciones y la estabilidad de producción requieren bastante atención. Puedo incorporarme a un código existente, diagnosticar problemas y trabajar sobre la infraestructura sin rehacer componentes que ya funcionan. ¿OpenEMR y las credenciales del clearinghouse ya están configurados, o la primera etapa requiere también preparar desde cero los flujos de EDI y conexión? Para la integración revisaría primero el flujo completo de datos y los contratos existentes, separando claramente OpenEMR, la capa de integración y los servicios externos. Después trabajaría sobre validación, manejo de errores, reintentos y trazabilidad de las transacciones para que los problemas de claims o eligibility sean fáciles de localizar. También puedo trabajar con Docker, Kubernetes, CI/CD y Azure para mantener los entornos reproducibles y controlados. Puedo empezar inmediatamente y adaptarme al horario PST y a soporte durante fines de semana. Abel
$8 USD in 40 days
2.9
2.9

Hi, I've reviewed your project, "OpenEMR Integration & Clearinghouse Specialist", and I understand what you're looking to achieve. Based on the requirements in your project description, my PHP, MySQL, Moodle, Database Development, Docker, Kubernetes, Microsoft Azure, CI/CD experience aligns well with the work you need. I can carefully review the existing requirements, understand the expected functionality, and implement the solution with a focus on quality, performance, and reliability. Project Requirements: Healthcare IT Integration Engineer – OpenEMR & Clearinghouse Job Type: Freelance / Contract Work Location: Remote Working Hours: PST hours required Hourly Rate: $5–$10/hour Contract Type: Long-term, milestone-based contract Start: Urgent / Immediate Weekend Availability: Required About the Role We are urgently looking for a Healthcare IT Integration Engineer with hands-on experience in OpenEMR, medical billing, clearinghouse integrations, healthcare EDI, and Microsoft Azure. This is a long-term freelance opportunity with milestone-based work. We need someone who can start immediately, work I’ll make sure the work is handled professionally, with clear communication throughout the project and attention to the details mentioned in your requirements. I’m ready to discuss the project and get started. Best Regards, Khadija Tul Kubra
$15 USD in 7 days
2.4
2.4

It's clear you have a comprehensive vision for integrating OpenEMR with various clearinghouses and enhancing healthcare workflows. I have extensive experience working with OpenEMR and have successfully integrated it with clearinghouses like Availity and Change Healthcare in previous projects. Your goal of ensuring seamless medical billing and EDI transactions aligns perfectly with my expertise in healthcare IT. I understand the urgency of your project and can start immediately, working during PST hours and available this weekend to tackle any initial challenges. My background includes managing secure, HIPAA-compliant systems while focusing on performance and user experience using Azure, Docker, and Kubernetes. How do you envision the first steps of this integration process? Best regards, Foraxis
$11 USD in 7 days
2.6
2.6

Hi, I’m a strong fit for this long-term healthcare integration role, with hands-on experience across EMR integrations, medical billing, clearinghouses, EDI/X12, REST APIs, and cloud infrastructure. I can support OpenEMR, 837/835/270/271/276/277 workflows, RCM, PHP, MySQL/MariaDB, Linux, Docker, Kubernetes/AKS, Azure, and CI/CD. I’m also comfortable with HL7/FHIR and troubleshooting production integrations while maintaining HIPAA-focused security and documentation. I understand the urgency and can start immediately, work PST hours, and provide weekend availability during implementation and troubleshooting. Rate: $10/hour. I’m interested in a long-term relationship and can provide relevant healthcare integration examples upon request.
$8 USD in 40 days
2.3
2.3

SolutionzHere has hands-on experience with OpenEMR, clearinghouse integrations (Availity, Office Ally, Waystar), EDI/X12 transactions (837, 835, 270/271, 276/277), RCM workflows, REST APIs, Azure/AKS, Docker/Kubernetes, CI/CD and HIPAA-compliant operations. We can support PST hours, weekend availability and immediate start for milestone-based work. Rate: $22/hour (over the top of your range) for senior healthcare integration expertise. We can begin with a focused discovery and integration milestone, then scale. Which clearinghouse are you integrating first, and is OpenEMR already deployed on Azure AKS?
$22 USD in 40 days
2.0
2.0

⮞⮞⮞⮞⮞ Dear client ⮜⮜⮜⮜⮜, Thank you for seeing my proposal. I have carefully reviewed your Healthcare IT Integration Engineer role and I am confident I can deliver reliable OpenEMR and clearinghouse integrations. -What are you looking to solve in this project? You need an experienced Healthcare IT Integration Engineer to configure OpenEMR, integrate with medical billing clearinghouses (Availity, Office Ally, Waystar), support EDI/X12 transactions (837, 835, 270/271, 276/277), manage Azure/AKS deployments, and maintain HIPAA-compliant systems. -What I can do for you in this project? I have hands-on experience with OpenEMR, clearinghouse integrations, and healthcare EDI. I can configure REST APIs, manage Azure/AKS/Docker deployments, set up CI/CD pipelines, and support RCM workflows. I am available to start immediately and work PST hours. ⚠️ If you want to solve more, I will do—HL7/FHIR integrations, Mirth Connect setup, or advanced security hardening. Thank you for your time. I am confident I can deliver a secure, efficient healthcare integration. Best Regards
$8 USD in 60 days
1.8
1.8

Building on my extensive expertise in Full-Stack Development, UI/UX Design, and API Integration, I confidently offer my skills to integrate OpenEMR and Clearinghouse for your healthcare IT project. I've had hands-on experience in similar EMR/EHRs as OpenEMR and have worked with clearinghouses such as Availity, Office Ally, Waystar, Change Healthcare, and Experian Health. I'm deeply familiar with the 837, 835, 270/271, 276/277 EDI/X12 transactions - core components of your project. This will enable me to not only configure and support OpenEMR effectively but also provide seamless integration with the clearinghouses you require. It's worth noting that I have previous experience with REST APIs, PHP, MySQL/MariaDB, Linux which will be fundamental in executing the task at hand. Furthermore, my proficiency extends to Microsoft Azure along with Azure Kubernetes Service (AKS), Docker and Kubernetes - enabling successful deployments and airtight management of applications; a valuable skillset to have for this project. In adherence to your preferences, I can commit to long-term work based on milestones and my hourly rate aligns with your proposed range depending on my extensive background in healthcare IT+medical billing.
$12 USD in 40 days
2.0
2.0

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