Senior EDI Support Specialist
Torque Technologies LLC
Job Description
Position: Senior EDI Support Specialist with Healthcare Payer, Facets
\nLocation: Seattle, WA (Day 1 On-Site)
\nLong Term
\n \nExperience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway
\n \nMandatory Skills
\nHealthcare Payer Domain 5+ Years
\nEDI Development 5+ Years
\nEdifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ Years
\nTriZetto HIPAA Gateway 3+ Years
\nFacets Required
\nHIPAA X12 Transactions Strong Hands-on Experience
\nTrading Partner Integrations Required
\nEDI Mapping & Validation Required
\nSQL Server or Oracle Required
\nUnix/Linux Required
\nSFTP & Batch Processing Required
\nAPI Integrations Required
\n834 Enrollment Transactions
\n837 Claims Transactions (P/I/D) Must Have
\n835 Claims Payment Must Have
\n270/271 Eligibility Must Have
\n276/277 Claim Status Must Have
\n278 Prior Authorization Must Have
\n820 Premium Payment Must Have
\nTA1 / 999 / 277CA Acknowledgements Must Have
\nSQL Server or Oracle Must Have
\nUnix/Linux Must Have
\nSFTP & Batch Processing Must Have
\nXML/XSD & JSON Must Have
\n \nRequired Skills
\nEdifecs Suite, TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON
\n \nHands-on support, troubleshooting, and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements
\n \nNice to Have
\nHL7/FHIR ServiceNow MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues and large-scale Facets payer environments
\n \nSummary:
\nSeeking a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms supporting Claims, Membership, Enrolment, Provider, and Payment functions.
\nThe role requires expertise in HIPAA X12 transaction support, production monitoring, incident resolution, trading partner management, and Edifecs/TriZetto HIPAA Gateway environments.
\n \nResponsibilities
\n- \n
- Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrolment, Billing, Provider, and Payment functions. Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation, and file transmission issues. \n
- Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments. Perform RCA, incident resolution, and transaction performance improvements. \n
- Support trading partner onboarding, certification, testing, and production releases. Work with business users, vendors, and external trading partners to resolve operational issues. \n
Preferred: Strong healthcare payer domain knowledge with proven experience supporting large-scale EDI operations, trading partner management, and Facets-integrated ecosystems.
$103k - $143k
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