Lead EDI Specialist

Company: Cynet Systems Inc
Location: Raleigh
Posted on: April 10, 2021

Job Description:

We are looking for Lead EDI Specialist for our client in Raleigh, NC

Job Title: Lead EDI Specialist

Job Location: Raleigh, NC

Job Type: Contract

Job Description:

The client is looking for a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project and to perform work related to supporting the Medicaid Reform Project.

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 manner.
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. Published at 01-11-2021
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Today's Date:--Thu Jan 14 2021 Cynet Systems is an Equal Opportunity Employer

At Cynet Systems, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates without regard to race, color, religion, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military, women, minority and veteran status, and any other characteristic protected by applicable law. Cynet Systems believes that diversity and inclusion among our teammates are critical to our success as a global company, and we seek to recruit, develop and retain the most talented people from a diverse candidate pool.

Keywords: Cynet Systems Inc, Raleigh , Lead EDI Specialist, Other , Raleigh, North Carolina