EDI Systems Specialist

2 weeks ago


Hyderabad, Telangana, India Staffington Consulting Pvt Ltd Full time

Staffington Consulting Pvt Ltd is seeking an EDI Systems Specialist. This role involves reviewing X12 835 files for issues and developing strategies to resolve them. Key responsibilities include:

Troubleshooting Activities

  • Querying our database using SQL Management Studio to review stored values.
  • Manually reviewing data files sent to Zelis by our Payer clients.

Supporting Client Implementation Activities

  • Generating 835 files, reviewing their content, and presenting findings to Zelis clients.

Responding to Inquiries

  • Addressing 835 issues, claims, payments, and clearinghouse activities.

Communication with Stakeholders

  • Working closely with other departments on customer and third-party vendor connectivity.
  • Communicating with vendor contacts to identify file issues and disseminate resolutions.

Requirements and Qualifications:

Experience: 2 to 6 years in the Healthcare industry, preferably provider billing and/or claims payment. Strong technical aptitude, experience with Microsoft SQL Server Management Studio, and ability to work under pressure are essential.

Estimated Salary Range: ₹5,00,000 - ₹10,00,000 per annum (dependent on location and experience).



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