- Possess knowledge in reading / parsing / working with 5010 compliant EDI file formats including but not limited to 837, 835, 999, 277, etc.
- Creating EDI files for claims to be submitted in CMS-1500 & UB-04 formats.
- Creating SRS and other detailed requirement documents. Create User stories in PT / Jira.
- Creating process flows relates to the business system.
- Consult, advise and build data mapping standards based on the clients specifications.
- Analysis errors and identify resolution strategies.
- Implementing EDPS solution for new health plans / medical groups.
- Thorough knowledge in X12 5010 standard. Knowledge in managing EDI files (837, 835, 999, 277, etc.)
- Experience in working with Healthcare domain specifically on Claims processing, Claims adjudication, Clearing house related process are preferred.
- Experience in claim submissions and management for Revenue Cycle management process.
UG / PG from any reputed university
3 - 9 years
Salary: INR 3,50,000 - 8,00,000 PA.
Industry:IT-Software / Software Services
Functional Area:IT Software - Application Programming, Maintenance
Role Category:Programming & Design
Desired Candidate Profile
Episource India Private Limited
Recruiter Name:Padmavathy Murugan
Contact Company:Episource India Private Limited
Address :PRINCE INFOCITY - II, 2nd floor, Door No.141, Raji, Chennai, Tamilnadu - 600096,India