Senior EDI Developer
Indianapolis, IN - USA
Job Summary
Senior EDI Developer
Indianapolis IN 46204 Local candidates only Hbrid
| Skill | Required / Desired | Amount | of Experience |
| Bachelors Degree in Computer Science or related fields with IT experience | Required |
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| Database knowledge | Required | 5 | Years |
| Understanding EDI file formats () | Required | 5 | Years |
| Knowledge of HIPAA regulations | Required |
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| Ability to solve complex troubleshooting issues | Required |
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| Excellent verbal and written communication skills | Required |
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| Health Industry experience | Highly desired |
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| Knowledge of IBM Websphere (WTX) | Highly desired |
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| Database/SQL experience | Highly desired |
Essential Duties / Responsibilities:
Review update all documentation related to claims processing and EDI transactions
Identify incompletely documented claims processing and EDI processes and document them
Act as liaison between OTC team and the Childrens program area on claims processing issues
Working with technical and functional staff on detailed business requirements understanding business processes and technology agency standards federal and state policies to align with projects goals.
Write technical specifications based on conceptual design and stated business requirements.
Test new and existing systems
Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.
Provide helpdesk level support for EDI claim transactions.
o Assist in onboarding new providers
o Assist in onboarding new clearinghouses