DataStaff, Inc. ยท 1 week ago
IT Lead EDI Specialist
Raleigh, NC
Contract
Hybrid
Senior Level
7+ years expDataStaff, Inc. is currently seeking an IT Lead EDI Specialist for a long-term contract opportunity. The role involves developing and executing test scripts for EDI applications, providing technical support during implementation, and managing EDI document types while ensuring effective communication with trading partners.
Human ResourcesRecruitingStaffing Agency
Responsibilities
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
Provide technical support during and after implementation for healthcare electronic data interchange applications
Respond to inquiries regarding EDI issues with encounter claims and trading partner activities
Manage catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
Communicate 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
Identify, recommend and implement 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
Conduct analysis of EDI transactions and be responsible for documentation and reports
Collaborate with EDI partners to resolve transmission problems
Track day-to-day EDI and 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
Develop and maintain cross-walking and validation rules for file exchanges
Triage 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
7 years: Expert in developing and executing test scripts related to X12 EDI Transmission
5 years: Demonstrated proficiency in conducting QA and testing on EDI applications
5 years: Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
5 years: High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions
2 years: Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
3 years: Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
3 years: Proven experience in processing and monitoring all inbound and outbound X12 transactions
2 years: Knowledge of Agile Methodology
2 years: Experience in collaborating with EDI partners to resolve transmission problems
Preferred
Strong understanding of healthcare claims processing - Claims, Provider, Eligibility
Working knowledge of Medicaid and/or MMIS
Excellent verbal and written communication skills with the ability present to both technical and business audiences
Benefits
Medical, dental and vision coverage options
Paid vacation
Sick and holiday leave
401k program available for employees after 6 months
Company
DataStaff, Inc.
DataStaff, Inc. (DSI), founded in 1998, is a small North Carolina women-owned business.
51-200 employees
H1B Sponsorship
DataStaff, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (2)
2021 (1)
2020 (4)
Funding
Current Stage
Growth StageLeadership Team
Glynda Mealer
CEO
Robert Crabill
Chief Operating Officer
Company data provided by crunchbase