Senior EDI Developer
Indianapolis, IN
Contracted
Experienced
Location: Indianapolis, IN
Position Type: Hybrid
Hybrid Schedule: Onsite 3 days a week 2 remote
Contract Length: 3 months + extensions
Position Overview:
The EDI Expert oversees the full lifecycle of electronic claims processing, ensuring accurate intake, adjudication, and response transmission between systems and external partners. This role collaborates closely with cross-functional teams to support system modernization efforts, align business and technical requirements, and maintain efficient EDI operations.
Duties:
Position Type: Hybrid
Hybrid Schedule: Onsite 3 days a week 2 remote
Contract Length: 3 months + extensions
Position Overview:
The EDI Expert oversees the full lifecycle of electronic claims processing, ensuring accurate intake, adjudication, and response transmission between systems and external partners. This role collaborates closely with cross-functional teams to support system modernization efforts, align business and technical requirements, and maintain efficient EDI operations.
Duties:
- Review and update all documentation related to claims processing and EDI transactions
- Identify gaps in existing claims processing and EDI documentation and create comprehensive documentation to address them
- Serve as a subject matter expert (SME) to support the system rewrite into .NET in collaboration with the development team
- Act as a liaison between internal teams and program areas to resolve claims processing issues
- Collaborate with technical and functional staff to gather and refine detailed business requirements aligned with organizational standards and regulatory policies
- Write technical specifications based on conceptual designs and business requirements
- Perform testing on new and existing systems to ensure functionality and accuracy
- Ensure accurate file exchanges with external trading partners and resolve EDI transmission issues
- Provide helpdesk support for EDI claim transactions, including troubleshooting and issue resolution
- Support healthcare providers interacting with the claims system, including onboarding new providers and clearinghouses
- Work independently with minimal supervision while coordinating with external partners as needed
- Bachelor’s degree in Computer Science or a related field, combined with relevant IT experience
- 5+ years of experience with database technologies and data management
- 5+ years of experience working with EDI file formats, including 835, 837, and 210 transactions
- Knowledge of HIPAA regulations and compliance requirements
- Proven ability to troubleshoot and resolve complex technical issues
- Strong verbal and written communication skills
- Experience working within the healthcare industry
- Knowledge of IBM WebSphere (WTX)
- Experience with databases and SQL querying and development
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