Intellibee Inc ยท 1 day ago
EDI Test Specialist
Raleigh, NC
Full-time
Onsite
Senior Level
7+ years expIntellibee Inc is seeking a Lead EDI Specialist to support the Medicaid Reform Project at the NC Dept of Health and Human Services. The role involves managing EDI transactions, developing test scripts, conducting QA and testing on EDI applications, and providing technical support for healthcare electronic data interchange applications.
Big DataCloud ComputingInternet of ThingsMobile AppsSoftware
No H1B
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
Qualification
Required
Expert in developing and executing test scripts related to X12 EDI Transmission Required 7 Years
Demonstrated proficiency in conducting QA and testing on EDI applications Required 5 Years
Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 Required 5 Years
High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions. Required 5 Years
Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing Required 2 Years
Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 Required 3 Years
Proven experience in processing and monitoring all inbound and outbound X12 transactions Required 3 Years
Knowledge of Agile Methodology Required 2 Years
Experience in collaborating with EDI partners to resolve transmission problems. Required 2 Years
LOCAL candidates only Required
Preferred
Strong understanding of healthcare claims processing - Claims, Provider, Eligibility Highly desired
Working knowledge of Medicaid and/or MMIS Highly desired
Excellent verbal and written communication skills with the ability present to both technical and business audiences. Desired
Company
Intellibee Inc
Intellibee is a global Information Technology services company that provides enterprise integration services.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Prasad Beesabathuni
President
Company data provided by crunchbase