EDIFECS/FACETS/EDI Specialist Enterprise Minds, Inc

5.0 - 9.0 years

0 Lacs

hyderabad, telangana

On-site

We are seeking an experienced EDIFECS/FACETS/EDI Specialist to join our team in Hyderabad. With over 5 years of experience, you will play a crucial role in supporting our healthcare integration, claims processing, and data exchange platforms. As an EDIFECS/FACETS/EDI Specialist, you will be responsible for designing, configuring, and maintaining EDIFECS transaction processing flows, maps, and rules. Your expertise in handling HIPAA EDI X12 transactions such as 834, 837, 835, 270/271, and 276/277 will be essential. You will conduct testing, troubleshoot issues, and coordinate with trading partners for seamless connectivity setup. In addition to EDI, you will support the integration of EDI processes with the FACETS core system. Working with modules like Enrollment, Claims, Billing, and Provider, you will develop batch jobs, extracts, and interface points. Data reconciliation and exception handling within FACETS workflows will also be part of your responsibilities. Your role will involve close collaboration with business teams to gather integration requirements, monitor file transmissions, and document workflows and configurations. You will work with QA teams for system testing and participate in the implementation of new trading partners or internal business units. Key requirements for this role include strong hands-on experience with EDIFECS SpecBuilder, XEngine, TPF, and Route Manager, in-depth knowledge of HIPAA 4010/5010 EDI formats, familiarity with FACETS core system modules, intermediate SQL skills, and proficiency in handling file formats like flat files, XML, JSON, and X12. Strong communication, documentation, and problem-solving skills are essential. Experience with ETL tools or middleware, familiarity with Medicare/Medicaid processing rules, exposure to Agile or Scrum methodologies, and prior experience with FACETS API or Web Service are considered advantageous. Join us to be a part of a collaborative and growth-driven culture, offering a competitive package and benefits. If you are ready to take on this exciting opportunity, please share your CV with Nivetha.s@eminds.ai.,

Posted 1 week ago

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