IT Lead EDI Specialist (Hybrid)

Job Title: IT Lead EDI Specialist (Hybrid)

Location: Raleigh, NC
Duration: 12+ Month

Responsibilities

• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.
• Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• 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
• Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing

• Provides technical support during and after implementation for healthcare electronic data interchange applications
• Responds to inquiries regarding EDI issues with encounter claims and trading partner activities
• Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• Communication 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
• Identifies, recommends and implements 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
• Conducts analysis of EDI transactions and is responsible for documentation and reports
• Collaborate with EDI partners to resolve transmission problems.
• Track day-to-day EDI & 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
• Develops and maintains cross walking and validation rules for file exchanges
• Triages 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

Skills:

• Expert in developing and executing test scripts related to X12 EDI Transmission-Required-7-Years
• Demonstrated proficiency in conducting QA and testing on EDI applications-Required-5-Years
• Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0-Required-5-Years
• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.-Required-5-Years
• Strong understanding of healthcare claims processing - Claims, Provider, Eligibility-Highly desired- -
• Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing-Required-2-Years
• Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0-Required-3-Years
• Working knowledge of Medicaid and/or MMIS-Highly desired- -
• Excellent verbal and written communication skills with the ability present to both technical and business audiences.-Desired- -
• Proven experience in processing and monitoring all inbound and outbound X12 transactions-Required-3-Years
• Knowledge of Agile Methodology-Required-2-Years
• Experience in collaborating with EDI partners to resolve transmission problems.-Required-2-Years
• LOCAL candidates only-Required- -