EDI Claims Implementation Specialist
Emcube Technologies Inc
Title: EDI Claims Implementation Specialist
Type: Contract
Location: Latham, NY
Experience: 5 8 years
Support the migration of a Massachusetts Medicaid client from one claims processing system to another, ensuring accurate EDI claims integration and processing.
Bridge inbound claims, adjudication-system impacts, and downstream encounter reporting throughout implementation and testing.
Key Responsibilities:
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Analyze and validate inbound and outbound EDI healthcare claims during claims system migration.
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Coordinate with claims adjudication teams to assess system impacts, resolve data issues, and ensure accurate claims processing.
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Support encounter reporting, integration testing, defect resolution, and implementation activities to maintain data integrity.
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