EDI Specialist

EDI Specialist

02 Sep 2024
North Carolina, Raleigh / durham / CH, 27601 Raleigh / durham / CH USA

EDI Specialist

Vacancy expired!

We are seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project.

Required Skills:
Skill
Required / Desired
Amount
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



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