EDI Specialist
Job ID : 740848
Title : EDISpecialist
Client : State of North CarolinaDHHS
Location : Raleigh NC (ONLY LOCAL)
JobDescription :
NC Dept of Healthand Human Services (DHHS) is seeking a Lead EDI Specialist / Testerto perform work related to support the Managed Care TransitionProject.
Skill
Required / Desired
Amount
Years ofExperience
LastUsed
Expert in developing and executing testscripts related to X12 EDITransmission
Required
Demonstratedproficiency in conducting QA and testing on EDIapplications
Required
Expert in EDImapping for 837 277CA 834 835 TANCPDPD.0
Required
High degree ofbusiness and technical knowledge with significant practicalexperience in HIPAA X12 EDITransactions.
Required
Strong understandingof healthcare claims processing Claims ProviderEligibility
Highlydesired
Experience setting up users / new TradingPartner relationship / Standards / Envelope and full cycletesting
Required
Experience increating and managing catalog of EDI document types such as 837277CA 834 835 TANCPDPD.0
Required
Working knowledge ofMedicaid and / or MMIS
Highlydesired
Excellent verbal and written communicationskills with the ability present to both technical and businessaudiences.
Desired
Proven experience inprocessing and monitoring all inbound and outbound X12transactions
Required
Knowledge of AgileMethodology
Required
Experience incollaborating with EDI partners to resolve transmissionproblems.
Required
LOCAL candidatesonly
Required
settingup users / new trading partner relationship / standards / envelope andfull cycle testing,edi,agile methodology,processing and monitoringall inbound and outbound x12 transactions,testing,mmis,creating andmanaging catalog of edi document types,collaborating with edipartners,medicaid,verbal and written communicationskills,healthcare claims processing,edimapping,communication,ncpdp,qa,x12 edi transmission,hipaa x12 editransactions
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