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EDI Developer

Company: The Judge Group
Location: Fullerton
Posted on: January 12, 2021

Job Description:

Location: Fullerton, CADescription: Our client is currently seeking a EDI Developer Job Description: Responsible for developing and managing all EDI (Electronic Data Interchange) scripting, coordinate error correction and resubmission, provide EDI reports, and act as a subject matter expert in conjunction with other technical and business employees to improve, expand, and make EDI more efficient. This position is also responsible for managing health plan encounter submissions, ensuring errors reports are available, error resubmission, and measuring submission ratios and plan-specific requirements against actual submissions.Essential Job Functions:--- Design and develop load routines, monitor, and reconcile all inbound and outbound electronic files including but not limited to 837I/P, 835, membership files, 270/271, MMR, MOR, etc.).--- Work with trading partners, internal staff, and vendors to resolve any implementation issues.--- Coordinate and test all EDI implementations with new EDI partners.--- Analyze current implementation in order to make recommendations for improvements.--- Conduct job duties and responsibilities according to the organization's business systems development methodology and/or its Systems Development Life Cycle (SDLC) methodology.--- Provide technical support to the EDI team and with customer as needed--- Troubleshoot EDI tools, systems, and software; performance-tune these applications as necessary.--- Conduct research and make recommendations on EDI products, services, and standards in support of development efforts.--- Uphold and maintain all HIPAA security and privacy regulations as set forth by the federal government. In particular, ensure that all electronic transmissions are encrypted and secure in a manner consistent HIPAA privacy guidelines covered under CFR 45 part 164. --- Expert in HIPAA-related EDI issues.--- Participate in projects and other duties as assigned Other Job Functions:--- Understand, adhere to, and implement the Company's policies and procedures.--- Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.--- Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.--- Engage in excellent communication which includes listening attentively and speaking professionally.--- Set and complete challenging goals.--- Demonstrate attention to detail and accuracy in work product.Required Qualifications: Minimum Experience--- 5+ years EDI experience--- Thorough knowledge X12 formats and EDI standards--- Strong knowledge of SQL--- 7+ years in IS with a focus on EDI--- Healthcare experience a plus.Education/Licensure:--- Bachelor's in Computer Science, Information Systems, or Business AdministrationContact: jallen@judge.comThis job and many more are available through The Judge Group. Find us on the web at www.judge.com

Keywords: The Judge Group, Fullerton , EDI Developer, Other , Fullerton, California

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