Hybrid in Indianapolis, IN, US • Posted 8 hours ago • Updated 8 hours ago
Contract Independent
Contract W2
Contract Corp To Corp
12 Months
Hybrid
Depends on Experience
Fitment
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Job Details
Skills
EDI
HIPAA
IBM Websphere
WTX
EDI file formats (835
837
210)
Health Industry
Summary
Job Description:
The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers and are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.
Essential Duties / Responsibilities:
Review update all documentation related to claims processing and EDI transactions
Identify incompletely documented claims processing and EDI processes, and document them
Work with development team as a SME as IDOH s ACAPS system is rewritten in .Net
Act as liaison between OTC team and the Children s program area on claims processing issues
Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project s goals.
Write technical specifications based on conceptual design and stated business requirements.
Test new and existing systems
Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.
Provide helpdesk level support for EDI claim transactions.
o Provide support to healthcare providers who interact with IDOH s CSHCS system
o Assist in onboarding new providers
o Assist in onboarding new clearinghouses
Ability to work independently with less guidance and work with ISDH externals partners as needed.
Skill
Required / Desired
Amount
of Experience
Bachelor s Degree in Computer Science or related fields with IT experience
Required
Database knowledge
Required
5
Years
Understanding EDI file formats (835, 837, 210)
Required
5
Years
Knowledge of HIPAA regulations
Required
Ability to solve complex troubleshooting issues
Required
Excellent verbal and written communication skills
Required
Health Industry experience
Highly desired
Knowledge of IBM Websphere (WTX)
Highly desired
Database/SQL experience
Highly desired
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
Position Title EDI Expert Healthcare Claims Processing - (CTH No Sponsorhip) Location Indianapolis, IN Work Schedule Hybrid 3 Days Onsite / 2 Days Remote Selected resource will be required to work onsite 3 days per week and 2 days remote. Please confirm the candidate understands and accepts this requirement. Interview Process Initial Technical Interview: Microsoft Teams Final Interview: Teams or In-Person (Manager''s Discretion) Duration Long-Term Contract Position Overview The Indiana De
Title:Sr. EDI Developer - Hybrid - Inperson Interview Location:Indianapolis,INLength:Long termRestriction:w2 or c2cDescription:Mode of Interview:- In-person Interview Only (Face to Face Interview) Very long term project (expect to go for 4+ years)Hybrid (3days per week Onsite ) at Indianapolis -INPossible contract to hire; customer does not sponsor Job Description: EDI Expert TheEDI Expertis responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are l
Job Title: EDI Developer / EDI Expert Location: Indianapolis, IN USA Duration: 5 months Job Description: The Indiana Department of Health (IDOH) is seeking an experienced EDI Expert to support and enhance its healthcare claims processing system (ACAPS). The selected candidate will be responsible for maintaining EDI transaction processing, healthcare claims adjudication workflows, provider integrations, and supporting modernization efforts as the ACAPS system is rewritten in .NET. Required Qualif
Candidates must be local to Indianapolis IN (Onsite Interview Required) Required Skills Bachelors Degree in Computer Science or related fields with IT experience Database knowledge Understanding EDI file formats (835, 837, 210) Knowledge of HIPAA regulations Ability to solve complex troubleshooting issues Excellent verbal and written communication skills Health Industry experience Knowledge of IBM Websphere (WTX) Database/SQL experience Taras Technology, LLC is an EEO/AA Employer: wom
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