EDI Specialist
Job Code : GEN/1189
HyderabadJob Description
Job Title: EDI Specialist
Job Description:
We are seeking a highly skilled and motivated EDI
Specialist with expertise in Electronic Data Interchange (EDI), particularly in
healthcare transactions such as 837, 277CA, TA1, 999 and 275. As a EDI
Specialist, you will play a pivotal role in facilitating seamless electronic
data exchange between our organization and external partners, ensuring
compliance with industry standards and regulations.
Responsibilities:
- EDI
Implementation and Integration: Lead the implementation and
integration of EDI solutions within our organization''''''''''''''''s systems and
processes. Collaborate with cross-functional teams to define EDI
requirements, design EDI maps, and configure EDI translators to support
various transaction sets including 837, 277CA, TA1, 999 and 275.
- Requirements
Gathering and Analysis: Work closely with stakeholders to gather and
analyse business requirements related to EDI transactions. Translate
business needs into technical specifications and EDI mapping documents,
ensuring alignment with industry standards and best practices.
- EDI
Compliance and Standards: Stay abreast of EDI standards, regulations, and
compliance requirements, particularly in the healthcare industry (e.g.,
HIPAA). Monitor changes in EDI standards and ensure our systems and
processes remain compliant with evolving regulations.
- EDI
Testing and Validation: Develop and execute test plans for EDI
transactions, including unit testing, integration testing, and end-to-end
testing. Collaborate with internal teams and external partners to
troubleshoot and resolve EDI-related issues, ensuring data accuracy and integrity.
- EDI
Support and Maintenance: Provide ongoing support and maintenance for EDI
systems and processes, including monitoring EDI transactions, resolving
data discrepancies, and implementing system enhancements and updates as
needed. Serve as a subject matter expert on EDI-related inquiries and
issues.
- Documentation
and Training: Create and maintain documentation for EDI
processes, mappings, and configurations. Develop training materials and
provide training sessions to internal teams on EDI concepts, tools, and
best practices.
Qualifications:
- Bachelor''''''''''''''''s
degree in Computer Science, Information Systems, BTech, MCA, or related
field.
- Proven
experience as a EDI Specialist or similar role, with a focus on EDI
implementation and support.
- Strong
understanding of EDI concepts, standards, and protocols, particularly in
healthcare transactions (e.g., X12).
- Experience
working with EDI transaction sets such as 837 (Healthcare Claim), 277CA
(Healthcare Claim Acknowledgment), TA1 (Interchange Acknowledgment), 999
and 275 (Patient Information).
- Proficiency
in EDI tools and software.
- Excellent
analytical, problem-solving, and communication skills.
- Ability
to work effectively both independently and as part of a team in a
fast-paced environment.
Preferred Qualifications:
- Certification
in EDI (e.g., EC-Council Certified EDI Professional, ASC X12 Certified
Professional).
- Experience
with healthcare information systems (e.g., Electronic Health Records,
Practice Management Systems).
- Familiarity
with agile methodologies and tools (e.g., JIRA, Confluence, Azzure DevOps)
for project management and collaboration.
Join our team and take your career to the next level
as a EDI Specialist, where you''''''''''''''''ll have the opportunity to drive innovation and
efficiency in electronic data exchange processes.