DataStaff, Inc . is currently seeking an IT Lead EDI Specialist for a long-term contract opportunity with one of our direct clients in Raleigh, NC .
This position is hybrid
Responsibilities :
- 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
- 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.
- Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matter.
- Conduct analysis of EDI transactions and be responsible for documentation and reports.
- Collaborate with EDI partners to resolve transmission problems.
- Track day-to-day EDI and 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.
- Develop and maintain cross-walking and validation rules for file exchanges.
- Triage 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
Required Skills :
- 7 years : Expert in developing and executing test scripts related to X12 EDI Transmission
- 5 years : Demonstrated proficiency in conducting QA and testing on EDI applications
- 5 years : Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
- 5 years : High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions
- 2 years : Experience setting up users / new Trading Partner relationship / Standards / Envelope and full cycle testing
- 3 years : Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
- 3 years : Proven experience in processing and monitoring all inbound and outbound X12 transactions
- 2 years : Knowledge of Agile Methodology
- 2 years : Experience in collaborating with EDI partners to resolve transmission problems.
Highly Desired Skills :
- Strong understanding of healthcare claims processing - Claims, Provider, Eligibility
- Working knowledge of Medicaid and / or MMIS
- Excellent verbal and written communication skills with the ability present to both technical and business audiences
This position is available on a corp-to-corp basis or as a W2 position with a competitive benefits package . DataStaff, Inc.
offers medical, dental and vision coverage options as well as paid vacation, sick and holiday leave. As many of our opportunities are long-term, we also have a 401k program available for employees after 6 months.
3 days ago