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Edi 837 Developer Jobs in Florida (NOW HIRING)

... 837, 834, and 270/271 is a plus. * Strong understanding of the healthcare claims lifecycle, payment processing, provider payment posting, and reconciliation. * Experience with EDI validation tools ...

This role is responsible for taking charge of our existing EDI team, establishing clear communication and accountability, and rapidly diagnosing and resolving the bottlenecks currently slowing ...

Maintain and expand the client's EDI/B2B environment. Analyze all incoming requests and determine a comprehensive solution. Ensure that all EDI traffic is secured and performing at peak capacity.

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Edi 837 Developer information

What is an EDI 837 developer?

An EDI 837 Developer is a specialized IT professional who designs, develops, and maintains electronic data interchange (EDI) solutions focused on the 837 transaction set, which is used for healthcare claims processing. They work with healthcare organizations and insurance companies to ensure that medical claims are accurately formatted, transmitted, and received according to HIPAA standards. Their responsibilities often include mapping data between internal systems and EDI formats, troubleshooting transmission errors, and ensuring compliance with regulatory requirements. EDI 837 Developers play a crucial role in streamlining the claims submission process and improving data accuracy in the healthcare industry.

What are the key skills and qualifications needed to thrive as an EDI 837 developer?

To thrive as an EDI 837 Developer, you need a solid understanding of healthcare EDI standards, particularly the 837 claim format, along with experience in data mapping and integration. Familiarity with EDI translation tools (such as Gentran, Sterling Integrator, or BizTalk), HIPAA compliance, and knowledge of XML/X12 file formats are crucial, and certifications in EDI or healthcare IT can be advantageous. Attention to detail, strong analytical thinking, and effective communication help in troubleshooting issues and collaborating with stakeholders. These skills ensure accurate claims processing, regulatory compliance, and seamless data exchange between healthcare entities.

What are some common challenges faced by EDI 837 developers when integrating with healthcare payer and provider systems?

EDI 837 Developers often encounter challenges related to inconsistent data formats, varying compliance requirements among payers and providers, and handling large volumes of sensitive healthcare claims data. Integration requires careful mapping of data fields and rigorous testing to ensure HIPAA compliance and data accuracy. Close collaboration with business analysts, QA testers, and trading partners is crucial to resolve discrepancies and maintain smooth data exchanges.

What is the difference between Edi 837 Developer vs Edi 837 Analyst?

AspectEdi 837 DeveloperEdi 837 Analyst
Primary RoleDesigns, develops, and maintains EDI 837 healthcare claim transactionsAnalyzes and reviews EDI 837 transactions for accuracy and compliance
Skills & CertificationsEDI programming, healthcare claims knowledge, scripting languagesHealthcare billing, claims processing, data analysis
Work EnvironmentIT departments, healthcare organizations, EDI service providersHealthcare providers, insurance companies, billing departments

The Edi 837 Developer focuses on creating and maintaining EDI 837 transaction files, ensuring they meet technical specifications. In contrast, the Edi 837 Analyst reviews and audits these transactions for accuracy and compliance. Both roles require healthcare claims knowledge, but the Developer emphasizes technical development, while the Analyst emphasizes data analysis and validation.

What are popular job titles related to Edi 837 Developer jobs in Florida?

For Edi 837 Developer jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Edi 837 Developer jobs in Florida look for?

The top searched job categories for Edi 837 Developer jobs in Florida are:

What cities in Florida are hiring for Edi 837 Developer jobs?

Cities in Florida with the most Edi 837 Developer job openings:

Information Technology_USA - USA_Developer

Real Soft, Inc.

Jacksonville, FL • On-site

Contractor

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Job description

**Please strictly adhere to the following resume naming convention:ALL CAPS, NO SPACES B/T UNDERSCORESPTN_US_GBAMSREQID_CandidateBeelineIDi.e. PTN_US_9999999_SKIPJOHNSON0413MSP Owner: William BristolLocation: See BelowDuration: 6 months The Automation Engineer is responsible for receiving automation requirements and implementing solutions to enhance the quality and efficiency of the automation infrastructure. This role focuses primarily on automating On-Prem server builds related to Windows Server and Red Hat Enterprise Linux (RHEL) through vCenter or other virtualization/hypervisor platforms. Additionally, the Automation Engineer may take on other automation responsibilities as they are determined, contributing to various projects and initiatives within the organization.KeyResponsibilities* • Collaborate with stakeholders to gather and understand automation requirements for server builds. • Develop and maintain automation solutions utilizing Ansible and the Ansible Automation Platform to streamline the server build process. • Automate On-Prem server builds for Windows Server and RHEL environments using vCenter. • Ensure compliance with internal concepts, standards, regulations, and operating standards within the environment. • Make informed decisions regarding work approaches and priorities, following established guidelines while exercising judgment in specific situationsRole Descriptions: Additional InformationLooking for an Axway Edifecs Developer to support EDI integrations for a large healthcare payer (HCSC). Role involves EDI processing| trading partner onboarding| and production support.Key responsibilitiesLooking for an Axway Edifecs Developer to support EDI integrations for a large healthcare payer (HCSC). Role involves EDI processing| trading partner onboarding| and production support. Key Responsibilities Develop and support EDI X12 transactions (834| 835| 837| 270271| 276277) Work on Axway (B2Bi Secure Transport) and Edifecs (SpecBuilder| XEngine) Manage trading partner onboarding and connectivity (AS2| SFTP| HTTPS) Troubleshoot EDI issues and ensure stable production operations Support HIPAA-compliant integrations Required Skills Strong experience in Axway Edifecs Solid knowledge of EDI X12 transactions Experience with file transfer protocols (AS2| SFTP) Preferred Healthcare payer experience (HCSC BCBS Cigna UHG Humana) Understanding of claims| eligibility| enrollment workflows Exposure to API MuleSoft cloud is a plusEssential Skills: Additional InformationLooking for an Axway Edifecs Developer to support EDI integrations for a large healthcare payer (HCSC). Role involves EDI processing| trading partner onboarding| and production support.Key responsibilitiesLooking for an Axway Edifecs Developer to support EDI integrations for a large healthcare payer (HCSC). Role involves EDI processing| trading partner onboarding| and production support. Key Responsibilities Develop and support EDI X12 transactions (834| 835| 837| 270271| 276277) Work on Axway (B2Bi Secure Transport) and Edifecs (SpecBuilder| XEngine) Manage trading partner onboarding and connectivity (AS2| SFTP| HTTPS) Troubleshoot EDI issues and ensure stable production operations Support HIPAA-compliant integrations Required Skills Strong experience in Axway Edifecs Solid knowledge of EDI X12 transactions Experience with file transfer protocols (AS2| SFTP) Preferred Healthcare payer experience (HCSC BCBS Cigna UHG Humana) Understanding of claims| eligibility| enrollment workflows Exposure to API MuleSoft cloud is a plusExcellent communication - Team collaboration - Documentation and knowledge sharingEducationRequirements OptionalCertifications OptionalSection V - Sample Questions for Training ModelTechnical:• Proven experience with Ansible and the Ansible Automation Platform.• Familiarity with operating systems, specifically Windows Server and RHEL.• Experience managing server infrastructure, particularly in vCenter or a hypervisorplatform for virtual machines.Desirable Skills: Keyword: Skills: EDI - Electronic Data InterchangeExperience Required: 4-6