Greetings from Smart Work IT Services,
Role: HIPAA EDI Specialist
Location: Remote
In this customer facing position the EDI Analyst will work with EDI transaction sets for claims, eligibility, and ERAs involving technical inquiries, updates, and resolutions.
Duties and Responsibilities:
- Initiate correspondence between clients and trading partners.
- Proficient in HIPAA EDI 5010 and 4010 transaction code sets (834, 270/271, 277, 837P, 837I, 999, 835).
- Familiarity with Health Care CORE Operating Rules.
- Obtain EDI specifications from trading partners and clients.
- Setup communications for EDI transmissions FTP setups.
- Knowledge of different FTP protocols (SFTP, TLS).
- Must have expertise in writing SQL queries using SQL server 2016 and above.
- Mapping documents into various formats including but not limited to HL7, and flat file layouts utilizing ODBC connectivity.
- Skillfully implement customers from the initial stage into live production.
- Build relationships between our clients and trading partners.
- Provide on-going training, technical and customer service support.
- Effectively builds on current support and services.
Skills and Core Competencies:
- Illustrate an outgoing personality and demonstrate personal confidence.
- Excellent verbal and written communication skills.
- Drives creative and effective problem solving and decision making to an appropriate resolution.
- Proactively shares knowledge/information with team members.
- Excellent interpersonal skills in one-on-one situations and groups with all levels of both the internal and customer
organizations.
- Must be able to multitask, balancing workload to meet goals in the time allotted.
- Learning focus: the desire to learn and improve current skills and abilities.
Desired Skills & Experience
Minimum of 4 years of EDI implementations and mapping or equivalent technical experience
- Clear understanding and working knowledge of HIPAA EDI protocols.
- Advanced knowledge of EDI is preferred.
- Preferred understanding of serviced industries primary processes and requirements.
- Complete knowledge of ANSI X12 EDI Standards is preferred.
- Programming experiences a plus.
- Experience with REDIX X12 validator tool is a plus