Senior EDI Developer
LingaTech•Indianapolis, IN
•Hybrid
About The Position
The EDI Expert oversees the full lifecycle of electronic claims processing, ensuring accurate intake, adjudication, and response transmission between systems and external partners. This role collaborates closely with cross-functional teams to support system modernization efforts, align business and technical requirements, and maintain efficient EDI operations.
Requirements
- Bachelor’s degree in Computer Science or a related field, combined with relevant IT experience
- 5+ years of experience with database technologies and data management
- 5+ years of experience working with EDI file formats, including 835, 837, and 210 transactions
- Knowledge of HIPAA regulations and compliance requirements
- Proven ability to troubleshoot and resolve complex technical issues
- Strong verbal and written communication skills
Nice To Haves
- Experience working within the healthcare industry
- Knowledge of IBM WebSphere (WTX)
- Experience with databases and SQL querying and development
Responsibilities
- Review and update all documentation related to claims processing and EDI transactions
- Identify gaps in existing claims processing and EDI documentation and create comprehensive documentation to address them
- Serve as a subject matter expert (SME) to support the system rewrite into .NET in collaboration with the development team
- Act as a liaison between internal teams and program areas to resolve claims processing issues
- Collaborate with technical and functional staff to gather and refine detailed business requirements aligned with organizational standards and regulatory policies
- Write technical specifications based on conceptual designs and business requirements
- Perform testing on new and existing systems to ensure functionality and accuracy
- Ensure accurate file exchanges with external trading partners and resolve EDI transmission issues
- Provide helpdesk support for EDI claim transactions, including troubleshooting and issue resolution
- Support healthcare providers interacting with the claims system, including onboarding new providers and clearinghouses
- Work independently with minimal supervision while coordinating with external partners as needed
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What This Job Offers
Career Level
Mid Level
Number of Employees
1-10 employees
