Healthcare Integration Specialist

7 days ago

Palakkad, Kerala, India beBeeIntegration Full time ₹ 13,71,098 - ₹ 20,91,613
Healthcare Integration Specialist Job

We are seeking an experienced Healthcare Integration Specialist to join our team. The ideal candidate will have in-depth knowledge of EDI systems, including EDIFECS and FACETS.

About the Role:

  • This is a full-time position that requires at least 5-10 years of experience in healthcare EDI integration.
  • The successful candidate will be responsible for designing and managing EDIFECS workflows, building and validating HIPAA-compliant X12 transactions, and integrating EDI solutions with FACETS modules.

Key Responsibilities:

  1. EDI Workflow Management: Design and manage EDIFECS workflows using SpecBuilder, TPF, XEngine, and Route Manager.
  2. X12 Transaction Development: Build and validate HIPAA-compliant X12 transactions, including 834, 837, 835, 270/271, and 276/277.
  3. FACETS Integration: Integrate EDI solutions with FACETS core modules, including Claims, Enrollment, Billing, and Provider.
  4. Data Extraction and Reconciliation: Perform data extraction, transformation, and reconciliation as required.
  5. Collaboration and Documentation: Collaborate with QA, Business Analysts, and Dev teams for successful deployments and maintain technical documentation.

Requirements:

  • Bachelor's degree in Computer Science or a related field.
  • At least 5 years of experience in healthcare EDI integration.
  • Expertise in EDIFECS (SpecBuilder, XEngine, Route Manager, TPF), X12 transactions, and FACETS core modules.
  • Intermediate SQL skills and strong troubleshooting and payer workflow knowledge.
  • Data formats: Flat files, XML, JSON, and X12.

Preferred Skills:

  • Experience with Mirth, MuleSoft, or Boomi.
  • Knowledge of Medicare/Medicaid rules.
  • Exposure to FACETS APIs and Web Services.
  • Familiarity with Agile, HIPAA, and SOC 2 frameworks.

Benefits:

Join a mission-driven IT team where your integration expertise powers better healthcare outcomes.

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