IT Lead EDI Specialist

3 weeks ago


Raleigh, North Carolina, United States raag solutions Full time

Job Summary

We are seeking a highly skilled IT Lead EDI Specialist to join our team at Raag Solutions. The ideal candidate will have a strong background in EDI transactions, particularly in HIPAA X12, and experience with EDI mapping for various document types.

Key Responsibilities

  • Develop and execute test scripts related to X12 transmission
  • Conduct QA and testing on EDI applications
  • Experience setting up users/new trading partner relationship/standards/envelope and full cycle testing
  • Provide technical support during and after implementation for healthcare electronic data interchange applications
  • Respond to inquiries regarding EDI issues with encounter claims and trading partner activities
  • Manage catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
  • Communicate between trading partners and department
  • Maintain detailed documentation and process flow of all EDI processes
  • Identify and facilitate issues with partner data mapping from onset through completion
  • Process and monitor all inbound and outbound X12 transactions
  • Support customer service group with EDI-related issues
  • Identify, recommend, and implement process improvements in support of the EDI system

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