Senior EDI Developer

DataStaff, Inc. is currently seeking a Senior EDI Developer for a long-term contract opportunity with one of our direct clients in Indianapolis, IN .

*This position is hybrid, 3 days will be on-site

Job Description:

The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.

Responsibilities:

• Review updates to all documentation related to claims processing and EDI transactions
• Identify incompletely documented claims processing and EDI processes, and document them
• Work with the development team as an SME as the ACAPS system is rewritten in .Net
• Act as liaison between the 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, and federal and state policies to align with the project’s goals.
• Write technical specifications based on the 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.
• Provide support to healthcare providers who interact with the CSHCS system
• Assist in onboarding new providers
• Assist in onboarding new clearinghouses
• Ability to work independently with less guidance and work with ISDH external partners as needed.

Required Skills:

• Bachelor’s Degree in Computer Science or related fields with IT experience
• 5 Years - Database knowledge
• 5 Years - Understanding EDI file formats (835, 837, 210)
• Knowledge of HIPAA regulations
• Ability to solve complex troubleshooting issues
• Excellent verbal and written communication skills

Desired Skills:

• Health Industry experience
• Knowledge of IBM Websphere (WTX)
• Database/SQL experience

This position is available as a W2 position with a competitive benefits package. DataStaff offers medical, dental, and vision coverage options as well as paid vacation, sick, and holiday leave. As many of our opportunities are long-term, we also have a 401k program available for employees after 6 months.