Review update all documentation related to claims processing and EDI transactions
Identify incompletely documented claims processing and EDI processes and document them
Work with development team as a SME as IDOHs ACAPS system is rewritten
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 Provide support to healthcare providers who interact with IDOHs CSHCS system
o Assist in onboarding new providers
o Assist in onboarding new clearinghouses
Ability to work independently with less guidance and work with ISDH externals partners as needed.
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 Work with development team as a SME as IDOHs ACAPS system is rewritten Act ...
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
Work with development team as a SME as IDOHs ACAPS system is rewritten
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 Provide support to healthcare providers who interact with IDOHs CSHCS system
o Assist in onboarding new providers
o Assist in onboarding new clearinghouses
Ability to work independently with less guidance and work with ISDH externals partners as needed.