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Please find below new requirement.
Title/Role: Senior EDI Developer
Worksite address: Local candidates only, Indianapolis IN, 46204
Interview Type: Phone and in-person
Work Arrangement: Hybrid
Essential Duties / Responsibilities:
Please find below new requirement.
Title/Role: Senior EDI Developer
Worksite address: Local candidates only, Indianapolis IN, 46204
Interview Type: Phone and in-person
Work Arrangement: Hybrid
Essential Duties / Responsibilities:
- Review 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.