Overview
Remote
USD 55.00 - 62.00 per hour
Full Time
Skills
Data management
Leadership
Flat file
Relational databases
XML
Collaboration
Artificial intelligence
Data extraction
Business rules
HIPAA
Data flow
JSON
Health care
Microsoft BizTalk Server
Informatica
Edifecs
Data
Electronic data interchange
Job Details
Piper Companies is seeking a mid to senior-level EDI 837 Claims Developer to join a growing healthcare data management organization for a 100% REMOTE contract-to-hire opportunity.
Responsibilities for the EDI 837 Claims Developer:
Qualifications of the EDI 837 Claims Developer:
Compensation for the EDI 837 Claims Developer:
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
- Target Conversion salary of $120,000 - $130,000 annually
- Full Benefits: Comprehensive Medical, Dental, Vision, and 401k
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.