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41 jobs near Columbus, OH

L2 Soc Analyst Location- St Petersburgh, Florida (Only locals) Hybrid- 3 days in office Client- Franklin Templeton Interview: Web-Ex and In-person Required Qualifications * Experience: Min8 years in ...

MDM Consultant We are searching for a hands-on business-focused technologist to lead a Client Master MDM solution that covers institutional and wealth management channels and manages data about ...

$55 - $60/hr

Job Title: Open Text Developer Location: Remote Client: State of Vermont Project Description: Centralized solution for the State of Vermont to handle all Customer Communication like paper ...

C++ Embedded Software Engineer

Dallas, TX

$130.60K - $171.90K/yr

Senior C++ Software Engineer Location: Dallas, TX (ONSITE) Client: InfoVision/Vizio Required Skills & Qualifications: * Strong proficiency in C++ (C++11/14/17) and Embedded C * Hands-on experience ...

Cloud Engineer (Python & DevOps)

Dallas, TX

$55.50 - $74/hr

Cloud Engineer (Python & DevOps) We are seeking a Cloud Engineer with hands-on experience in AWS, Azure, or GCP, strong Python scripting skills, and DevOps expertise. The role involves automating ...

Sr. Data Engineer

Atlanta, GA · On-site

$110.10K - $132.20K/yr

Data Engineer Under broad supervision, combines strong technical skills with knowledge of database administration. Works on one or more projects of high complexity. Provides technical support to ...

Showing results 21-40

IN-IDOH Senior EDI Developer

SnapCode Inc

Indianapolis, IN

Other

Posted 2 days ago


Job description

EDI Expert Position

The Indiana Department of Health (IDOH) is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS. The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.

Essential Duties / Responsibilities:

  • Review and update all documentation related to claims processing and EDI transactions
  • Identify and document incompletely documented claims processing and EDI processes
  • Work with the development team as a subject matter expert 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
  • Work 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 external partners as needed

Skills:

  • Bachelors Degree in Computer Science or related fields with IT experience - Required
  • Database knowledge - Required - 5 Years
  • Understanding EDI file formats (835, 837, 210) - Required - 5 Years
  • Knowledge of HIPAA regulations - Required
  • Ability to solve complex troubleshooting issues - Required
  • Excellent verbal and written communication skills - Required
  • Health Industry experience - Highly desired
  • Knowledge of IBM Websphere (WTX) - Highly desired
  • Database/SQL experience - Highly desired