Hi PArtners,

Please Check the Below requirement. EDI Analyst and Developer. 
Location: US-Spring Field, MA.  
Account/Client: HNE.Health EDI ANSI X12, XML Schema, ETL&EDI toolsets , SQL, 
Management Studio,
Health insurance experience Expert in EDI standards and implementation
Deep EDI ANSI X12 knowledge
Good knowledge of web services, XML and defining schemas using DTD/XSD
Perform EDI mapping and end to end test
Hands on experience in SQL Server / relational databases 
Extensive experience integrating standard X12 transactions (834, 837, 835, 820, 
270, 271, 276, 277) into internal and external systems
Experience in implementing EDI/ETL processes
Experience with various EDI and ETL toolsets 
Experience with XML, X12 EDI Standards and Transactions, etc.
Experience with health care insurance or health care vendor organizations 
desirable

Analyze EDI and data integration/transformation requirements from business 
partners and develop processes to meet these requirements
Ensure data integration design and implementation is in accordance with other 
design components and meets end-state requirements
Apply business rules used to govern data transformations based on upstream and 
downstream data impact
Perform EDI system testing and quality control checks
Resolve code defects discovered during testing and implement corrective 
solutions
Review and correct daily errors for inbound EDI transactions and retransmit 
outbound EDI documents
Evaluate user requests for new and modified EDI applications, programs, 
processes, and maps
Manipulate data sets as needed for testing, correction, or knowledge building
Implement, maintain, and monitor EDI systems
Develop data integration components including EDI, data mapping, translation 
and interface
Review X12 files for issues including but not limited to: balancing, structure, 
syntactical, data type and content errors; then develop and execute strategies 
to solve them. 
Troubleshooting activities include querying database using SQL Management 
Studio to review stored values and/or using a text editor to manually review 
data files sent by Payer clients
Support Payer and Provider client implementation activities by generating 835s 
files, reviewing their content and then presenting findings to 
clients/departments
Respond to inquiries regarding issues, claims, payments, and/or clearinghouse 
activities
Work closely with other departments on communication issues related to customer 
and third-party vendor connectivity
Communicate with vendor contacts to identify file issues and then disseminate 
the resolutions to the provider or payer
Maintain compliance with all HIPAA and general data security standards


Excellent analytical and problem solving skills.
Understanding of complex information and requirements.
Ability to explain complex systems in simple terms.
An ability to work to tight deadlines and within constraints.
Excellent customer service skills
Excellent oral and written communication skills
Excellent ability to work alone and as a team member   Regards Arun | Sr. 
Technical Recruiter KLNtek 626-414-4522
 [email protected] 324 E. Foothill Blvd. Suit # 206 Arcadia, CA 91006 USA 
www.KLNtek.com

   

   

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