I have an opportunity for " Automation Engineer With EDI " and looking for a candidate who can join ... Knowledge of various EDI transaction such as 834,837,270/271,835 * Knowledge on FACETS modules such ...
I have an opportunity for " Automation Engineer With EDI " and looking for a candidate who can join ... Knowledge of various EDI transaction such as 834,837,270/271,835 * Knowledge on FACETS modules such ...
Reach me Position - IT EDI Developer - Senior Location: St.Louis, MO Duration: 6 Month Contract TO HIRE End Client: Express Scripts POSITION SUMMARY : B2B/EDI engineer responsible for detail design ...
Reach me Position - IT EDI Developer - Senior Location: St.Louis, MO Duration: 6 Month Contract TO HIRE End Client: Express Scripts POSITION SUMMARY : B2B/EDI engineer responsible for detail design ...
IT EDI Developer - Senior
Saint Louis, MO · On-site
Reach me Position - IT EDI Developer - Senior Location: St.Louis, MO Duration: 6 Month Contract TO HIRE End Client: Express Scripts POSITION SUMMARY : B2B/EDI engineer responsible for detail design ...
IT EDI Developer - Senior
Saint Louis, MO · On-site
Reach me Position - IT EDI Developer - Senior Location: St.Louis, MO Duration: 6 Month Contract TO HIRE End Client: Express Scripts POSITION SUMMARY : B2B/EDI engineer responsible for detail design ...
... 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 ...
... 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 ...
EDI Analyst
Saint Louis, MO · On-site
... 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 ...
EDI Analyst
Saint Louis, MO · On-site
... 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 ...
Expertise in EDI formats - 837 (P/I/D), 835, 834 * Hands-on experience in Facets (Claims + Enrollment modules) * Proficiency in Azure DevOps (ADO) for QA tracking * Knowledge of HIPAA compliance and ...
Quick apply
Expertise in EDI formats - 837 (P/I/D), 835, 834 * Hands-on experience in Facets (Claims + Enrollment modules) * Proficiency in Azure DevOps (ADO) for QA tracking * Knowledge of HIPAA compliance and ...
EDI Administrator
Springfield, MO · On-site
The EDI Administrator will assist in all aspects of lifecycle management of data integration ... Deliver defined features, functionality, or outcomes from a designated part of the engineering ...
EDI Administrator
Springfield, MO · On-site
The EDI Administrator will assist in all aspects of lifecycle management of data integration ... Deliver defined features, functionality, or outcomes from a designated part of the engineering ...
Facets QA Lead
Kansas City, MO · On-site
... in EDI formats - 837 (P/I/D), 835, 834 • Hands-on experience in Facets (Claims + Enrollment modules) • Proficiency in Azure DevOps (ADO) for QA tracking • Knowledge of HIPAA compliance and ...
Facets QA Lead
Kansas City, MO · On-site
... in EDI formats - 837 (P/I/D), 835, 834 • Hands-on experience in Facets (Claims + Enrollment modules) • Proficiency in Azure DevOps (ADO) for QA tracking • Knowledge of HIPAA compliance and ...
SR EDI ARCHITECT
Saint Louis, MO · On-site
The EDI lead's primary role is to oversee the development, implementation, and support of our EDI systems, processes, and supplier interactions. The candidate will collaborate with cross-functional ...
SR EDI ARCHITECT
Saint Louis, MO · On-site
The EDI lead's primary role is to oversee the development, implementation, and support of our EDI systems, processes, and supplier interactions. The candidate will collaborate with cross-functional ...
SR EDI ARCHITECT
Saint Louis, MO · On-site
The EDI lead's primary role is to oversee the development, implementation, and support of our EDI systems, processes, and supplier interactions. The candidate will collaborate with cross-functional ...
SR EDI ARCHITECT
Saint Louis, MO · On-site
The EDI lead's primary role is to oversee the development, implementation, and support of our EDI systems, processes, and supplier interactions. The candidate will collaborate with cross-functional ...
Sr. Developer - IAD118
Saint Louis, MO · On-site
$53 - $70/hr
NET. oSolid design principles around ETL and SOA. o Proficient with EDI ( X12 837 , 835) , NCPDP ,XML and JOSN Schema formats. oExcellent written and Oral communications. * Claims payment systems ...
Sr. Developer - IAD118
Saint Louis, MO · On-site
$53 - $70/hr
NET. oSolid design principles around ETL and SOA. o Proficient with EDI ( X12 837 , 835) , NCPDP ,XML and JOSN Schema formats. oExcellent written and Oral communications. * Claims payment systems ...
If you are interested in applying programming, machine learning, and AI techniques to complex ... In this role, you'll take ownership of ensuring the accuracy and integrity of EDI data, which is ...
If you are interested in applying programming, machine learning, and AI techniques to complex ... In this role, you'll take ownership of ensuring the accuracy and integrity of EDI data, which is ...
EDI Operations Specialist
Saint Louis, MO · On-site
If you are interested in applying programming, machine learning, and AI techniques to complex ... In this role, you'll take ownership of ensuring the accuracy and integrity of EDI data, which is ...
EDI Operations Specialist
Saint Louis, MO · On-site
If you are interested in applying programming, machine learning, and AI techniques to complex ... In this role, you'll take ownership of ensuring the accuracy and integrity of EDI data, which is ...
BizManager EDI Consulting Analyst
Saint Louis, MO · On-site +1
EDI analysis / EDI mapping services / testing / implementation * Community management and rapid on-boarding * Gap analysis, API development and optimization * BizManager upgrade planning ...
BizManager EDI Consulting Analyst
Saint Louis, MO · On-site +1
EDI analysis / EDI mapping services / testing / implementation * Community management and rapid on-boarding * Gap analysis, API development and optimization * BizManager upgrade planning ...
... Engineering Services, Enterprise Mobility, Test Automation, QA - Manual and Automated Testing, QA ... Founded 1996 Looking for EDI - WTX consultant for full time position with my direct client. St ...
... Engineering Services, Enterprise Mobility, Test Automation, QA - Manual and Automated Testing, QA ... Founded 1996 Looking for EDI - WTX consultant for full time position with my direct client. St ...
Linux Engineer
Saint Louis, MO · On-site
Linux Engineer Location: St. Louis, MO * 4x/week onsite Contract Length: 12+ months+ Top Requirements: * OS administration - Linux and Windows * How to patch a box in both environments * Large ...
Quick apply
Linux Engineer
Saint Louis, MO · On-site
Linux Engineer Location: St. Louis, MO * 4x/week onsite Contract Length: 12+ months+ Top Requirements: * OS administration - Linux and Windows * How to patch a box in both environments * Large ...
OpenShift System Administrator
Saint Louis, MO · On-site +1
We are seeking a highly skilled System Engineer to support and enhance enterprise infrastructure platforms in a client-facing environment. This role emphasizes expertise in OpenShift Container ...
OpenShift System Administrator
Saint Louis, MO · On-site +1
We are seeking a highly skilled System Engineer to support and enhance enterprise infrastructure platforms in a client-facing environment. This role emphasizes expertise in OpenShift Container ...
System Administrator
Saint Louis, MO · On-site
Collaborate with technicians and engineers to resolve system issues and ensure operational uptime. * Ensure system security, compliance, and reliability standards are met. * Other duties as assigned ...
System Administrator
Saint Louis, MO · On-site
Collaborate with technicians and engineers to resolve system issues and ensure operational uptime. * Ensure system security, compliance, and reliability standards are met. * Other duties as assigned ...
Duties include performing updates, configurations, installations, and troubleshooting, collaborating with technicians and engineers to support the Government's security environment. ** This position ...
Duties include performing updates, configurations, installations, and troubleshooting, collaborating with technicians and engineers to support the Government's security environment. ** This position ...
System Administrator
Saint Louis, MO · On-site
Duties include performing updates, configurations, installations, and troubleshooting, collaborating with technicians and engineers to support the Government's security environment. ** This position ...
System Administrator
Saint Louis, MO · On-site
Duties include performing updates, configurations, installations, and troubleshooting, collaborating with technicians and engineers to support the Government's security environment. ** This position ...
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 is the difference between Edi 837 Developer vs Edi 837 Analyst?
| Aspect | Edi 837 Developer | Edi 837 Analyst |
|---|---|---|
| Primary Role | Designs, develops, and maintains EDI 837 healthcare claim transactions | Analyzes and reviews EDI 837 transactions for accuracy and compliance |
| Skills & Certifications | EDI programming, healthcare claims knowledge, scripting languages | Healthcare billing, claims processing, data analysis |
| Work Environment | IT departments, healthcare organizations, EDI service providers | Healthcare 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 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 are popular job titles related to Edi 837 Developer jobs in Missouri?
For Edi 837 Developer jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Edi 837 Developer jobs in Missouri look for?
The top searched job categories for Edi 837 Developer jobs in Missouri are:
What cities in Missouri are hiring for Edi 837 Developer jobs?
Cities in Missouri with the most Edi 837 Developer job openings:
Contractor
Re-posted 17 days ago
Job description
Hi,
This is Kevin Smith from Navtech INC. I have an opportunity for "Automation Engineer With EDI" and looking for a candidate who can join Immediately if you are interested reply to me with your updated resume or consultant's contact details and if you could refer someone I really appreciate it.
Job Title: Automation Engineer With EDI
Location: St Louis, MO Remote Until Covid
Duration: 6 to 12 Months Contract
Key skills:
Best Regards,
Kevin Smith | PH: 224-296-3545 | kevin@navtechusa.com
This is Kevin Smith from Navtech INC. I have an opportunity for "Automation Engineer With EDI" and looking for a candidate who can join Immediately if you are interested reply to me with your updated resume or consultant's contact details and if you could refer someone I really appreciate it.
Job Title: Automation Engineer With EDI
Location: St Louis, MO Remote Until Covid
Duration: 6 to 12 Months Contract
Key skills:
- Heavy Experience in scripting automated Test Suites
- Electronic Data Interchange, Reporting, MIS Reporting, HIPAA, x12, HIPPA 5010, Excel, MS Office, EDI 834
- Correlate the Healthcare Application with EDI Structure.
- X12 Segment and Looping structure validations against the Healthcare Standards including, HIPAA and SNIP level validations to be Verified.
- Candidates should have strong Knowledge on Validating and Verifying Transactional Outputs against Eligibility, Claims Inquiry, Claims, Payment, etc.
- Should be able to prepare Test data for Various Healthcare transactions including (270, 276, 837 (I,P and D) and 278).
- Strong Knowledge on EDIFECS is Preferred.
- Knowledge of various EDI transaction such as 834,837,270/271,835
- Knowledge on FACETS modules such as Claim, Medical/Plan, Subscriber/Family, Provider
- Experience in manual testing and ETL.
- Strong fundamental in SDLC Aglie/Waterfall methodologies
Best Regards,
Kevin Smith | PH: 224-296-3545 | kevin@navtechusa.com
About Navtech
Sourced by ZipRecruiter
Industry
Civil engineering construction
Company size
11 - 50 Employees
Headquarters location
New Bloomfield, PA, US
Year founded
1996