Sr. Java Health Plans EDI Specialist

Benecard Services Inc. • Clifton, NJ

117d

About The Position

We are looking for an experienced Java Developer to assist us with the development and maintenance of our electronic data interfaces and CMS government reporting processes. The ideal candidate will possess experience working as a Java and SQL developer who can develop complex automated processes utilizing standard HIPAA formats and custom file requirements. Must report on site 5 days a week.

Requirements

• Must have professional experience with standard HIPAA formats (837, 277, 835, 834, etc.)
• Must have experience with CMS, DHS reporting requirements & formats and encounter submissions is required.
• Must have experience with EDI translation software, experience with iWay software is a plus.
• Familiarity with managed care health programs and the insurance industry is required
• Must have a high level of competency in designing, coding, testing, debugging, documenting, and supporting production-quality Java applications.
• Must have professional experience including expert knowledge of Java, SQL, XML, SFTP, & JDBC required.
• Experience working with database systems such as DB2 and MySQL.
• Experience with MS Excel functions that includes working with large datasets and creating standardized reporting.
• Working knowledge of Microsoft office applications (Excel, Word, Access, etc.)
• Experience working in an AS/400 environment.
• Working knowledge of COBOL is a plus.

Nice To Haves

• Strong ability to analyze existing code and to formulate and implement changes
• Ability to work independently and within a team environment
• Self-directed with excellent time management skills
• Organized and extremely attentive to detail
• Effective, honest, and clear communication style
• A good sense of humor

Responsibilities

• Maintenance & enhancement of multiple automated data interfaces using both standard HIPAA formats and custom data layouts for eligibility & claims processing
• Support the processes related to the submission of encounter data to contracted health plans
• Accurately monitor and reconcile submitted encounters against response files to ensure timely resolution of submission issues
• Development of processes to generate various data universes as required by CMS
• Develop customized reporting as requested by clients & internal users
• Troubleshoot Production issues
• Prepare documentation describing relevant applications & interfaces
• Provide off-hours support as required

Benefits

• Competitive salary
• Vacation and Sick/Personal Time
• Medical Insurance
• Hearing Program Discount
• Short- & Long-Term Disability Insurance
• Life Insurance
• Flexible Spending Account
• 401(k)
• Employee Referral Program
• Employee Recognition
• Tuition Reimbursement
• Professional Development Training

What This Job Offers

• Job Type: Full-time