Electronic Data Interchange Specialist

Local candidates only will be considered. Please state current city/state

Interview Type: Webcam Interview Only

Duration: 6 months

The client is seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project.

This position is responsible for the following activities related to a critical system being developed in-house at the State.

• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.
• Develop and execute test scripts related to X12 Transmission
• Conduct QA and testing on EDI applications
• Develop and execute test scripts related to X12 Transmission
• Experience setting up users/new trading partner relationships, standards, envelope and full cycle testing
• Provide technical support during and after implementation for healthcare electronic data interchange applications
• Respond to inquiries regarding EDI issues with encounter claims and trading partner activities
• Manage catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP
  
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• Communicate 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
• Identify, recommend and implement process improvements in support of the EDI system
• Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely manner
• Conduct analysis of EDI transactions and be 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
• Develop and maintain cross‑walking and validation rules for file exchanges
• Triage incoming EDI issues through monitoring
• 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.