Develop and implement EDI applications to process Health Care transactions as per the HIPAA implementation. Write SQL Queries for backend testing. Providing Business Process Assessment, Requirements Gathering, Gap Analysis, Implementation and Testing. Working with HIPAA EDI 834 (Benefit Enrollment), 270/271 (Eligibility/Enquiry Response), 276/277 (Claim Status Eligibility and Response), 820 (Premium Payment), 278 (Review and authorization), 837 (Professional, Institutional, Dental Claims), 835 (Claim Payment/Remittance Advise). Validate professional, Institutional and dentist claims in FACETS, verify codes with description and requirements verify adjudication process of claim in FACETS. Work under supervision. Travel and/or relocation to unanticipated client sites in USA is required.

Experience of Twelve (12) months working on EDI is required. Travel and/or relocation is required to unanticipated client sites within USA. International travel is not required. The frequency of travel is currently not known as it depends on the client and project requirement that cannot be currently anticipated. Employer provides Information technology services to various clients in USA and hence implementing projects will require such travel.

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