Piper Companies is seeking a mid to senior-level EDI 837 Claims Developer to join a growing healthcare data management organization.
This is a contract-to-hire opportunity and is fully REMOTE (must be in either EST or CST) .
Key Responsibilities for the EDI 837 Claims Developer :
- Lead the development of 837 EDI claims processes, including corrections and error handling.
- Manipulate and integrate data from varied sources / formats : flat files, relational / non-relational databases, XML, JSON, and more.
- Provide technical guidance on EDI tools and recommend new applications for claims processing.
- Collaborate with the dev team to integrate AI-powered data extraction tool and implement business rules around claims submission.
- Ensure HIPAA compliance and optimize data flows from JSON outputs to the 837 format.
Qualifications of the EDI 837 Claims Developer :
- The ideal candidate will be a Subject Matter Expert (SME) in healthcare claims and EDI transactions, particularly the 837 format, and will be instrumental in helping the development team stand up a new claims project.
- Strong expertise in healthcare claims, specifically with 837 EDI transactions.
- Knowledge of and experience with common EDI tools such as BizTalk, Informatica, Sterling, and / or Edifecs
- Ability to recommend / help implement new tools and solutions.
- Experience with claims correction processes and clearinghouse submissions.
- Ability to manipulate data across multiple formats and sources.
Compensation for the EDI 837 Claims Developer :
- Hourly Rate : $55.00 - $62.00 per hour
- Conversion salary : $120,000 - $130,000 annually
- Full Benefits : Comprehensive Medical, Dental, Vision, and 401k
LI-KS1
LI-REMOTE
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