EDI Integration Specialist - Clover reputed company

Role: EDI Integration Specialist (Not Developer)

Location : Remote

Duration : Contract

Experience : 12+ years

External facing experience is MUST

We are seeking a skilled Integration Specialist 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.