Role- EDI Business analyst
Location-Remote
Duration-Long Term
Visa- H1B USC GC, Except OPT
· Risk adjustment
· Medicare and Medicaid submissions
· CMS transactions
· EDI requests and responses (detailed understanding of segments, loops, encounters within transaction segments, outbound and inbound msgs, order of files and response duration)
· HIPPA validation
1)Strong on knowledge on HIPPA
2)How many levels of validation
2.1)Custom Validation X12 EDI instep validation
3)Epic Integration
4)what are attributes in EPIC
4.1)what are purpose do scenarios
5)Claim process
6)EDI module - 837 - TA01 - 999 - 277C, MA01, MA02, MA04
what happens when claim is partially approved
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RON || INVOLGIXS Inc.
700 Market St, Suite 203, Cedar Park, TX 78613
Direct: 469 409 5173 || Office: 888-418-0138 *203
ron@involgix.com || Website: www.involgix.com
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