835/837 EDI Application Specialist/Developer MedSynergies
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Under general supervision, provides advanced technical support during and after implementation for healthcare electronic data interchange applications.
Respond to inquiries regarding EDI issues with enrollment, claims, payments, and/or clearinghouse activities.
Analyze, design and develop specifications for enhancements and extensions with EDI application interfaces and maps.
Map customer EDI documents using EDI mapping tools and custom programming to meet customer specifications and internal business requirements.
Coordinate EDI testing and trading partner implementation initiatives.
Monitor inbound and outbound transmissions for errors. Communicate status of errors and conduct follow-up resolution with internal and external customers.
Coordinate with IS Operations and Technical services on communications issues related to customer and third party vendor connectivity.
Interpret the payer mandates and regulatory compliance to facilitate changes across multiple departments, processes and forms.
Perform other duties as assigned.
Obtain coding specifications for new claim formats or remits setup. Update the claim logic or remits accordingly.
E-Commerce/exchange knowledge of 835 and 837 processes.
Ability to resolve and change the logic within 835 & 837 using their development and support skills.
Bachelor's Degree or equivilent work experience.
irving, Texas, United States
||Irving, TX |
THIS JOB HAS EXPIRED