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US Citizen
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Green Card
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EAD (OPT/CPT/GC/H4)
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H1B Work Permit
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Corp-Corp
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W2-Permanent
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W2-Contract
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Contract to Hire
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UG :- - Not Required
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PG :- - Not Required
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No of position :- ( 1 )
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Post :- 23rd Sep 2024
- Develop, implement, and maintain EDI solutions that support healthcare-related transactions.
- Work with stakeholders to map and define EDI processes in accordance with business needs.
- Ensure the successful processing of healthcare EDI transactions including but not limited to:
- 834: Benefit Enrollment and Maintenance
- 837: Health Care Claims (Professional, Institutional, and Dental)
- 270/271: Eligibility, Coverage, or Benefit Inquiry and Response
- 276/277: Health Care Claim Status Request and Response
- 835: Health Care Claim Payment/Remittance Advice
- 820: Health Insurance Premium Payment
- 275: Patient Information
- 278: Health Care Services Review
- Collaborate internal teams to resolve transaction issues and ensure data accuracy.
- Conduct regular testing, validation, and troubleshooting of EDI systems to meet regulatory and operational requirements.
- Monitor transaction activity to ensure the integrity of EDI processing.
- Prepare and maintain technical documentation for all processes and system integrations.
- Ensure compliance with HIPAA standards and other regulatory guidelines.
- Participate in system upgrades, migration, and EDI enhancements.