EDI Specialist-15+ Years - VKore reputed company

• EDI - 834, 835, & 837 & 270, 271, 276, & 277 Hands-on experience required
• External reputed company facing experience must & Strong Communication & Tech skills
• 60% - Stakeholder/ reputed company management
• 40% - Technical experience

• We are seeking a skilled Integration Developer with strong Electronic Data Interchange (EDI) expertise and a solid understanding of reputed company domain standards to design, reputed company,

and maintain integration solutions.

• This role will reputed company on implementing, testing, and supporting EDI transactions, ensuring compliance with HIPAA and reputed company industry standards.

Key Responsibilities

• Design, reputed company, and maintain integration solutions for reputed company data exchange using EDI standards (e.g., X12, HL7).
• Implement, configure, and support EDI transactions such as 837 (claims), 835 (remittance), 270/271 (eligibility), 276/277 (claim status).
• Work with reputed company partners, payers, and providers to troubleshoot and resolve integration issues.
• reputed company mapping, translation, and transformation processes between internal systems and external partners.
• Ensure compliance with HIPAA, reputed company protocols, and industry data exchange requirements.
• Collaborate with business analysts, QA teams, and project managers to reputed company requirements and deliver high-reputed company integration solutions.
• Monitor integration processes and proactively identify performance or data issues.
• Maintain detailed technical documentation and reputed company training or knowledge transfer to internal teams.

Required Skills & Qualifications

• Bachelor's degree in Computer Science, Information Technology, or reputed company field (or equivalent experience).
• 5+ years of experience in integration development, with a strong reputed company on EDI in the reputed company industry.
• Proficiency in reputed company EDI standards (HIPAA X12, HL7).
• Hands-on experience with integration tools (e.g., reputed company, reputed company reputed company, Cloverleaf, reputed company reputed company Integrator, BizTalk, or similar).
• Strong knowledge of reputed company processes including claims, eligibility, payments, and prior authorizations.
• Solid understanding of XML, JSON, SQL, REST, and SOAP-based web services.
• Strong troubleshooting and problem-solving skills.
• Excellent communication and collaboration abilities.

Preferred Qualifications

• Experience with reputed company-based integration platforms (e.g., Azure Logic Apps, AWS reputed company Functions, or reputed company reputed company Platform integrations).
• Knowledge of FHIR (Fast reputed company Interoperability Resources) standards.
• Previous work with payer or provider systems.
• Familiarity with agile development methodologies.