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EDI 837 Claims Developer

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Piper Companies

2024-11-14 14:48:10

Job location Oregon, Oregon, United States

Job type: fulltime

Job industry: I.T. & Communications

Job description

Piper Companies is seeking a mid to senior-level EDI 837 Claims Developer to join a growing healthcare data management organization. This is a contract-to-hire opportunity and is fully REMOTE (must be in either EST or CST).

Key Responsibilities for the EDI 837 Claims Developer:

  • Lead the development of 837 EDI claims processes, including corrections and error handling.
  • Manipulate and integrate data from varied sources/formats: flat files, relational/non-relational databases, XML, JSON, and more.
  • Provide technical guidance on EDI tools and recommend new applications for claims processing.
  • Collaborate with the dev team to integrate AI-powered data extraction tool and implement business rules around claims submission.
  • Ensure HIPAA compliance and optimize data flows from JSON outputs to the 837 format.
  • Qualifications of the EDI 837 Claims Developer:

  • The ideal candidate will be a Subject Matter Expert (SME) in healthcare claims and EDI transactions, particularly the 837 format, and will be instrumental in helping the development team stand up a new claims project.
  • Strong expertise in healthcare claims, specifically with 837 EDI transactions.
  • Knowledge of and experience with common EDI tools such as BizTalk, Informatica, Sterling, and/or Edifecs
  • Ability to recommend/help implement new tools and solutions.
  • Experience with claims correction processes and clearinghouse submissions.
  • Ability to manipulate data across multiple formats and sources.
  • Compensation for the EDI 837 Claims Developer:

  • Hourly Rate:$55.00 - $62.00 per hour
  • Conversion salary: $120,000 - $130,000 annually
  • Full Benefits:Comprehensive Medical, Dental, Vision, and 401k
  • Inform a friend!

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