Senior EDI Developer

Job Title: Senior EDI Developer
Location: Indianapolis IN
Duration: 5 months with possible extension
Interview:Both Webcam and In- Person Interview
***Selected resource will be required to work onsite 3 days per week and 2 days remote***
Job Description:
The IndianaDepartment of Health (IDOH) is seeking an EDI expert in order tomaintain and advance its health insurance claims processing system, ACAPS.
The EDI Expert is responsible for maintaining the life cycle of claims as they arrive
from health providers at IDOH, are loaded into our database, are adjudicated based
on state and national pricing standards, and as adjudication messages are
generated and sent back to the originating provider. This position will work with the
project manager, software developers, business analysts, and functional team
members on the project activities

Responsibilities:

• Review update all documentation related to claims processing and ED transactions
• Identify incompletely documented claims processing and EDI processes, and document them
• Work with development team as a SME as IDOH's ACAPS system is rewritten in .Net
• Act as liaison between OTC team and the Children's program area on claims processing issues
• Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project's goals.
• Write technical specifications based on conceptual design and stated business requirements.
• Test new and existing systems
• Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.
• Provide helpdesk level support for EDI claim transactions.
• Provide support to healthcare providers who interact with IDOH'sCSHCS system
• Assist in onboarding new providers
• Assist in onboarding new clearinghouses
• Ability to work independently with less guidance and work with ISDH externals partners as needed.

Required Skills:

• Bachelor's Degree in Computer Science or related fields with IT experience
• Database knowledge
• Understanding EDI file formats (835, 837, 210)
• Knowledge of HIPAA regulations
• Ability to solve complex troubleshooting issues
• Excellent verbal and written communication skills

Desired Skills :

• Health Industry experience
• Knowledge of IBM Web sphere(WTX)
• Database/SQL experience