Healthcare 837 EDI Specialist
Kforce
Kforce has a client in Montebello, CA that is in need of a Healthcare 837 EDI Specialist.
Responsibilities:
* Interpret ASC X12 837 files (837P and 837I), identifying loops and segments
* The Healthcare 837 EDI Specialist will manage EDI claims submission, exchange, and reconciliation
* Process related files: 837D, 277CA, 999, and TA1
* Respond to EDI acknowledgments and error reports, identifying accepted vs. rejected claims
* Write and modify intermediate-level SQL queries for data extraction, updates, and reporting
* Perform update statements, joins, and CASE logic
* Maintain and update SQL scripts based on requirements
* Analyze and troubleshoot healthcare claims data using SQL
* Python scripting for automating EDI tasks is a plus
* The Healthcare 837 EDI Specialist will map claim form fields to EDI segments
* Understand healthcare claims workflows and EDI clearinghouses
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