DHHS- IT Lead EDI Specialist

Job Title

• IT Lead EDI Specialist Location
• Raleigh, NC 27607 (Hybrid) Duration
• 4 months (possible extension) Job Details
• We are seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project. We are seeking a Lead EDI Specialist to perform work related to support the Medicaid Reform Project. Key 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 Skills

• HIPAA X12 EDI

  Transactions
• EDI Mapping
• X12 Transmission
• QA and Testing on EDI Applications
• Trading Partner Relationship Setup
• Healthcare Electronic Data Interchange Applications
• Encounter Claims Processing
• EDI Document Management
• Documentation and Process Flow Management
• Data Mapping
• Inbound/Outbound X12 Transactions
• EDI Troubleshooting
• EDI Transaction Analysis and Reporting
• Cross Walking and Validation Rules
• User Acceptance Testing (UAT)
• Agile Methodology
• Communication Skills
• Ability to work independently with minimal supervision
• X12

Transaction Sets:

837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0