IT Lead EDI Specialist - Raleigh - Omega Solutions Inc

    Omega Solutions Inc
    Omega Solutions Inc Raleigh

    1 week ago

    Description
    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 applications
    • Responds to inquiries regarding EDI issues with encounter claims and trading partner activities
    • Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
    • Communication 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
    • Identifies, recommends and implements process improvements in support of the EDI system
    • Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matter
    • Conducts analysis of EDI transactions and is 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
    • Develops and maintains cross walking and validation rules for file exchanges

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