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EDI Specialist at Remote, Remote, USA
Email: [email protected]
Role:EDI Specialist

We are seeking a skilled EDI Specialist with 4 to 8 years of experience in EDI, SQL, claims routing, and EDIFECS. The ideal candidate will have a strong background in ANSI X12 standards, including EDI 835 and 837, and will be responsible for designing, developing, and maintaining our EDI systems to ensure efficient and secure data exchange.

DO NOT SUBMIT WITHOUT experience in - EDI, SQL, claims routing, and EDIFECS tools, Payers Domain experience.

The submission will be stopped once we have enough profiles

Preferred Qualifications: -

Experience in the healthcare industry. Familiarity with defect tracking tools such as JIRA, Agile methodologies

Location: -

Remote

Educational Qualifications: -

Engineering Degree BE/ME/BTech/MTech/BSc/MSc.

Job Responsibilities: -

EDI System Management:

Design, develop, and maintain EDI transaction maps.

Ensure efficient and secure data exchange between systems.

Utilize EDIFECS tools for EDI transaction processing, compliance checking, and data transformation.

SQL Database Management: Write and optimize SQL queries.

Manage database performance. Collaborate with database engineers to enhance system efficiency.

Claims Routing and Processing: Monitor and manage the routing of claims. Ensure timely and accurate processing of claims.

Resolve discrepancies and issues in claims processing.

Technical Support and Troubleshooting:

Provide support for EDI systems.

Debug issues and coordinate with trading partners for new integrations.

Documentation and Compliance:

Maintain detailed documentation of system changes.

Ensure compliance with data security and privacy regulations.

Required Skills and Qualifications: -

Strong knowledge of EDI standards, including ANSI X12 (EDI 835 and 837).

Proficiency in SQL and experience with database management.

Experience with EDIFECS tools. Excellent decision-making, critical thinking, and problem-solving skills.

Strong oral and written communication skills. Ability to work collaboratively with internal and external stakeholders.

Leadership skills and experience in leading a team of support analysts.

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Mon Oct 21 18:18:00 UTC 2024

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