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EDI Specialist

Hybrid in Seattle, WA, US • Posted 9 hours ago • Updated 8 hours ago

Contract W2

Contract Corp To Corp

12 Months

Hybrid

Depends on Experience

Fitment

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Job Details

Skills

Summary

Role - EDI Specialist
Location - Seattle, WA
12+ Months

Summary:

Seeking a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms supporting Claims, Membership, Enrolment, Provider, and Payment functions. The role requires expertise in HIPAA X12 transaction support, production monitoring, incident resolution, trading partner management, and Edifecs/TriZetto HIPAA Gateway environments.

Responsibilities

Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrolment, Billing, Provider, and Payment functions. Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation, and file transmission issues.
Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments. Perform RCA, incident resolution, and transaction performance improvements. Support trading partner onboarding, certification, testing, and production releases.
Work with business users, vendors, and external trading partners to resolve operational issues. Required Skills Edifecs Suite, TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON

Required Experience

Healthcare Payer Domain 5+ Years
EDI Support (L2/L3) 5+ Years
HIPAA X12 Transactions 5+ Years
Facets 3+ Years
Edifecs Suite 3+ Years
TriZetto HIPAA Gateway 3+ Years
Trading Partner Management 3+ Years
834 Enrollment Transactions Must Have
837 Claims Transactions (P/I/D) Must Have
835 Claims Payment Must Have
270/271 Eligibility Must Have
276/277 Claim Status Must Have
278 Prior Authorization Must Have
820 Premium Payment Must Have
TA1 / 999 / 277CA Acknowledgements Must Have
SQL Server or Oracle Must Have
Unix/Linux Must Have
SFTP & Batch Processing Must Have
XML/XSD & JSON Must Have

In compliance with the salary transparency law, the expected pay range for this role is $60/hr Actual compensation depends on experience and interview evaluation.

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.

Dice Id: 10120856
Position Id: 9101080
Posted 9 hours ago

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Ankit Jaiswal

Recruiter @ Empower Professionals

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