Senior EDI Developer

Company : Lingatech

Job Description - Senior EDI Developer

Location: Indianapolis, IN
Position Type: Hybrid
Hybrid Schedule: Onsite 3 days a week 2 remote
Contract Length: 3 months + extensions

Position Overview:
The EDI Expert oversees the full lifecycle of electronic claims processing, ensuring accurate intake, adjudication, and response transmission between systems and external partners. This role collaborates closely with cross-functional teams to support system modernization efforts, align business and technical requirements, and maintain efficient EDI operations.

Duties:

Review and update all documentation related to claims processing and EDI transactions
Identify gaps in existing claims processing and EDI documentation and create comprehensive documentation to address them
Serve as a subject matter expert (SME) to support the system rewrite into .NET in collaboration with the development team
Act as a liaison between internal teams and program areas to resolve claims processing issues
Collaborate with technical and functional staff to gather and refine detailed business requirements aligned with organizational standards and regulatory policies
Write technical specifications based on conceptual designs and business requirements
Perform testing on new and existing systems to ensure functionality and accuracy
Ensure accurate file exchanges with external trading partners and resolve EDI transmission issues
Provide helpdesk support for EDI claim transactions, including troubleshooting and issue resolution
Support healthcare providers interacting with the claims system, including onboarding new providers and clearinghouses
Work independently with minimal supervision while coordinating with external partners as needed

Required Skills:

Bachelor’s degree in Computer Science or a related field, combined with relevant IT experience
5+ years of experience with database technologies and data management
5+ years of experience working with EDI file formats, including 835, 837, and 210 transactions
Knowledge of HIPAA regulations and compliance requirements
Proven ability to troubleshoot and resolve complex technical issues
Strong verbal and written communication skills

Preferred Skills:

Experience working within the healthcare industry
Knowledge of IBM WebSphere (WTX)
Experience with databases and SQL querying and development

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Senior EDI Developer

Job Description - Senior EDI Developer

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