EDI Specialist

7 days ago

Raleigh, North Carolina, United States STI Full time

Job title: DHHS- IT Lead EDI Specialist 

Location: Dix Campus Raleigh North Carolina

Duration: 9+ Months from projected

Job Description:


• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.


• Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0


• Develop and execute test scripts related to X12 Transmission

Conducts QA and Testing on EDI applications

Develop and execute Test scripts related to X12 Transmission

Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing


• Provides technical support during and after implementation for healthcare electronic data interchange applications


• Responds to inquiries regarding EDI issues with encounter claims and trading partner activities


• Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0


• Communication 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


• Identifies, recommends and implements process improvements in support of the EDI system


• Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matter


• Conducts analysis of EDI transactions and is responsible for documentation and reports


• Collaborate with EDI partners to resolve transmission problems.


• Track day-to-day EDI & batch processes to identify and address problems as they arise reporting levels of activity using key established metrics for senior management


• Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers


• Develops and maintains cross walking and validation rules for file exchanges


• Triages incoming EDI issues thru monitoring


• Ability to communicate effectively with technical and business staff


• Support internal resources to resolve issues, answer questions, and retransmit EDI documents when necessary


• Work with end users to ensure user acceptance testing is thorough and complete


•
• Employees should be able to work independently with minimal supervision.


• Knowledge of Agile Methodology

 

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