IT Lead Specialist for Electronic Data Interchange

4 days ago


Raleigh, North Carolina, United States USM Full time

We are seeking a highly skilled IT Lead to join our team at USM. The successful candidate will be responsible for leading the development and implementation of electronic data interchange (EDI) systems, with a focus on healthcare claims processing. This role requires expertise in HIPAA X12 EDI Transactions, including EDI mapping for various document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0. Strong business and technical knowledge is essential, with significant practical experience in EDI transactions.

Responsibilities
  • Develop and execute test scripts related to X12 EDI transmission
  • Conduct QA and testing on EDI applications
  • Set up users/new trading partner relationships/standards/envelopes and perform 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

The ideal candidate will have a high degree of business and technical knowledge, with significant practical experience in HIPAA X12 EDI transactions. A strong understanding of healthcare claims processing, including claims, providers, and eligibility, is also desirable.



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