
EDI Integration Specialist
3 days ago
We are seeking an experienced EDI Specialist to join our organization.
- Design and manage EDIFECS workflows (SpecBuilder, TPF, XEngine, Route Manager) with a focus on efficiency and scalability.
- Build and validate HIPAA-compliant X12 transactions (834, 837, 835, 270/271, 276/277).
- Integrate EDI solutions with FACETS modules (Claims, Enrollment, Billing, Provider) to optimize data exchange.
- Support EDI interface development, partner onboarding, and transaction monitoring for seamless operations.
- Perform data extraction, transformation, and reconciliation to ensure data integrity.
- Collaborate with QA, Business Analysts, and Dev teams for successful deployments and agile delivery processes.
Required Skills & Qualifications:
- Bachelor's in Computer Science or related field.
- 5+ years in healthcare EDI & integration with expertise in EDIFECS, X12 transactions, FACETS core modules, intermediate SQL, and strong troubleshooting & payer workflow knowledge.
Preferred Skills:
- Experience with Mirth, MuleSoft, or Boomi.
- Knowledge of Medicare/Medicaid rules and regulations.
- Exposure to FACETS APIs, Web Services, and Agile frameworks.
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