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Senior EDI Developer

PSR Associates Inc

Indianapolis, IN

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JOB DETAILS
SKILLS
Adjudication, Business Analysis, Business Processes, Claims Processing, Consulting, Documentation, Electronic Data Interchange (EDI), Federal Government, Healthcare Providers, Help Desk, Information Technology & Information Systems, Microsoft .NET, Onboarding, Pricing, Project Management Software, Requirements Management, Software Development, Team Player, Transaction Processing/Management
LOCATION
Indianapolis, IN
POSTED
1 day ago
PSR Associates is a consulting and talent solutions firm that connects qualified IT professionals with great opportunities. Whether you're looking for a contract or permanent position, we can help you find the right fit for your skills and experience. We have a team of experienced recruiters who know the IT industry inside and out, and we work with you every step of the way to ensure a smooth and successful transition. PSR Connecting Talent, Crafting Success.

Senior EDI Developer

We are seeking a Senior EDI Developer to join our team. The selected candidate will work a hybrid schedule consisting of three (3) days each week onsite in Indianapolis, IN and two (2) days each week remotely

The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers and, 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.

Essential Duties / Responsibilities:
  • Review and update all documentation related to claims processing and EDI 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 s CSHCS 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.

*** Please note that any false information on your resume or application could lead to the offer being withdrawn or even termination after hire.***




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PSR Associates Inc

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