Senior EDI Developer

One of our Client is looking for the position of Sr. EDI Developer based on following skills: The Client is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, 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 origina

Our client is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, 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 a

Essential Duties / Responsibilities: Review update all documentation related to claims processing and EDI transactionsIdentify incompletely documented claims processing and EDI processes, and document themWork with development team as a SME as IDOH s ACAPS system is rewritten in .NetAct as liaison between OTC team and the Children s program area on claims processing issuesWorking with technical and functional staff on detailed business requirements, understanding business processes and technolo

Job ID: IN-795706 Hybrid/Local EDI Developer (12+) with 835/837/210, HIPAA, SQL Server, IBM WTX, helpdesk and Healthcare/claims experience Location: Indianapolis, IN (Indiana Department of Health Finance) Duration: 3 Months Skills: 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 is