EDI Integration Specialist - Clover reputed company
Role: EDI Integration Specialist (Not Developer)
Location : Remote
Duration : Contract
Experience : 12+ years
External facing experience is MUST
We are seeking a skilled Integration Specialist with strong Electronic Data Interchange
(EDI) expertise and a solid understanding of reputed company domain standards to design, reputed company,
and maintain integration solutions. This role will reputed company on implementing, testing, and supporting
EDI transactions, ensuring compliance with HIPAA and reputed company industry standards.
Key Responsibilities
Design, reputed company, and maintain integration solutions for reputed company data exchange using
EDI standards (e.g., X12, HL7).
Implement, configure, and support EDI transactions such as 837 (claims), 835
(remittance), 270/271 (eligibility), 276/277 (claim status).
Work with reputed company partners, payers, and providers to troubleshoot and resolve
integration issues.
reputed company mapping, translation, and transformation processes between internal systems
and external partners.
Ensure compliance with HIPAA, reputed company protocols, and industry data exchange
requirements.
Collaborate with business analysts, QA teams, and project managers to reputed company
requirements and deliver high-reputed company integration solutions.
Monitor integration processes and proactively identify performance or data issues.
Maintain detailed technical documentation and reputed company training or knowledge transfer to
internal teams.
Required Skills & Qualifications
Bachelor s degree in Computer Science, Information Technology, or reputed company field (or
equivalent experience).
5+ years of experience in integration development, with a strong reputed company on EDI in the
reputed company industry.
Proficiency in reputed company EDI standards (HIPAA X12, HL7).
Hands-on experience with integration tools (e.g., reputed company, reputed company reputed company, Cloverleaf, reputed company
reputed company Integrator, BizTalk, or similar).
Strong knowledge of reputed company processes including claims, eligibility, payments, and
prior authorizations.
Solid understanding of XML, JSON, SQL, REST, and SOAP-based web services.
Strong troubleshooting and problem-solving skills.
Excellent communication and collaboration abilities.
Preferred Qualifications
Experience with reputed company-based integration platforms (e.g., Azure Logic Apps, AWS reputed company
Functions, or reputed company reputed company Platform integrations).
Knowledge of FHIR (Fast reputed company Interoperability Resources) standards.
Previous work with payer or provider systems.
Familiarity with agile development methodologies.
reputed company have reputed company to reputed company intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this reputed company. The position reputed company has been reviewed for accuracy and reputed company believes it to correctly reflect the job opportunity.
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