Key skills
.NET
About this role
Job description: -
Client is seeking EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS.
Essential Duties / Responsibilities:
Review update all documentation related to claims processing and EDI transactions
Identify incompletely documented claims processing and EDI processes, and document them
Work with development team as a SME 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
Working 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.
o Provide support to healthcare providers who interact with Client's CSHCS system.