EDI Specialist

Cosmic-I LLC DBA Northern Base Logo
Cosmic-I LLC DBA Northern Base
United States (Remote)
  • IT
  • Applications have closed

Role 1: EDI Specialist

Experience level: 12-15+ Years

Location: Remote

Note:

  • EDI – 834, 835, & 837 & 270, 271, 276, & 277 Hands-on experience required

  • External client facing experience must & Strong Communication & Tech skills

  • 60% – Stakeholder/ client management

  • 40% – Technical experience

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

and maintain integration solutions.

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

Key Responsibilities

  • Design, develop, and maintain integration solutions for healthcare 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 healthcare partners, payers, and providers to troubleshoot and resolve integration issues.
  • Develop mapping, translation, and transformation processes between internal systems and external partners.
  • Ensure compliance with HIPAA, security protocols, and industry data exchange requirements.
  • Collaborate with business analysts, QA teams, and project managers to gather requirements and deliver high-quality integration solutions.
  • Monitor integration processes and proactively identify performance or data issues.
  • Maintain detailed technical documentation and provide training or knowledge transfer to internal teams.

Required Skills & Qualifications

  • Bachelor s degree in Computer Science, Information Technology, or related field (or equivalent experience).
  • 5+ years of experience in integration development, with a strong focus on EDI in the healthcare industry.
  • Proficiency in healthcare EDI standards (HIPAA X12, HL7).
  • Hands-on experience with integration tools (e.g., MuleSoft, Dell Boomi, Cloverleaf, IBM Sterling Integrator, BizTalk, or similar).
  • Strong knowledge of healthcare 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 cloud-based integration platforms (e.g., Azure Logic Apps, AWS Step Functions, or Google Cloud Platform integrations).
  • Knowledge of FHIR (Fast Healthcare Interoperability Resources) standards.
  • Previous work with payer or provider systems.
  • Familiarity with agile development methodologies.
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