6 days ago
• Experience with other healthcare standards (HL7, NCPDP). • Certifications in EDIFECS or healthcare integration tools. • Strong experience with EDIFECS software (e.g., EDIFECS Translator, Claims Management). • Familiarity with HIPAA and EDI standards (837, 835, 277, 278). • Proficient in SQL and working with data transformation tools.
• EDIFECS Development: Configure and implement EDIFECS solutions for healthcare transactions (claims, enrollment, eligibility, payments). • EDI Integration: Work with EDI standards (837, 835, 277, 278) to ensure smooth data flow between systems. • Customization: Customize EDIFECS tools to meet business needs, including creating mapping rules and transforming data. • Support & Troubleshooting: Provide ongoing support for EDIFECS systems, troubleshooting issues and improving processes. • Collaboration: Work with business analysts and IT teams to deliver effective solutions. • Documentation: Document configurations, processes, and ensure compliance with healthcare standards (HIPAA). • System Monitoring: Monitor and optimize EDIFECS systems for performance.
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