IT Lead EDI Specialist

Responsibilities

• 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

• Triages incoming EDI issues thru monitoring

• Ability to 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.

• Knowledge of Agile Methodology

About Us:

InterSources Inc, a Certified Diverse Supplier, was founded in 2007 and offers innovative solutions to help clients with Digital Transformations across various domains and industries. Our history spans over 16 years and today we are an Award-Winning Global Software Consultancy solving complex problems with technology. We recognize that our employees and our clients are our strengths as the diverse talents and opportunities they bring to the table enable us to grow as a global platform and they are causally linked with our success. We provide strategic and technical advice, and we have expertise in areas covering Artificial Intelligence, Cloud Migration, Custom Software Development, Data Analytics Infrastructure & Cloud Solutions, Cyber Security Services, etc. We make reasonable accommodations for clients and employees and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status. We also are a Google Cloud partner company. We align strategy with execution and provide secure service solutions by developing and using the latest technologies that thrive our resources to deliver industry-leading capabilities to our clients and customers, making it convenient for our clients to do business with InterSources Inc. Our teams also drive growth by refining technology-driven client experiences that put the users first, providing an unparalleled experience. This results in strengthening the core technologies of clients, enabling them to scale with flexibility, create seamless digital experiences and build lifelong relationships.