LOCAL candidates only.
- 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 applicationsResponds to inquiries regarding EDI issues with encounter claims and trading partner activitiesManagement of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0Communication between Trading Partners and departmentMaintain detailed documentation and process flow of all EDI processesIdentify and facilitate issues with partner data mapping from onset through completionProcess and monitor all inbound and outbound X12 transactionsSupport Customer Service group with EDI related issuesIdentifies, recommends and implements process improvements in support of the EDI systemTroubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matterConducts analysis of EDI transactions and is responsible for documentation and reportsCollaborate 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 managementEffectively communicate issues and needs with internal business partners, external vendors, and healthcare providersDevelops and maintains cross walking and validation rules for file exchangesTriages incoming EDI issues thru monitoring