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