Sr EDI DeveloperLocation: Indianapolis IN, 46204On-site/Remote/Hybrid: HybridDuration: 3-6+ MonthsInterview Process: Phone and In-PersonThe Indiana Department of Health (IDOH) is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS.Job DescriptionThe EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.Essential Duties / ResponsibilitiesReview update all documentation related to claims processing and EDI transactionsIdentify incompletely documented claims processing and EDI processes, and document themWork with development team as a SME as IDOH's ACAPS system is rewritten in.NetAct as liaison between OTC team and the Children's program area on claims processing issuesWorking with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project's goals.Write technical specifications based on conceptual design and stated business requirements.Test new and existing systemsEnsure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.Provide helpdesk level support for EDI claim transactions.Provide support to healthcare providers who interact with IDOH's CSHCS systemAssist in onboarding new providersAssist in onboarding new clearinghousesAbility to work independently with less guidance and work with ISDH externals partners as needed.SkillsBachelor's Degree in Computer Science or related fields with IT experience Required Database knowledge Required 5 Years Understanding EDI file formats (835, 837, 210) Required 5 Years Knowledge of HIPAA regulations Required Ability to solve complex troubleshooting issues Required Excellent verbal and written communication skills Required Health Industry experience Highly desired Knowledge of IBM Websphere (WTX) Highly desired Database/SQL experience Highly desiredAbout Us: InterSources IncInterSources Inc is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. We make reasonable accommodations for clients and employees, and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status.
We also are a Google Cloud and Oracle partner company.