Integration Engineer - 55895-1
Remote EST
Implements and supports integration logic for claims processing within the POC, with a strong focus on Facets interaction and HIPAA Gateway (HGW) processing for 837/835 transactions.
Required Skills:
Hands-on experience with Facets (data model, claims processing, and integration points) REQUIRED
Strong experience with Facets HIPAA Gateway (837/835 processing) REQUIRED
Experience working with Facets external claims database and related data structures
Strong SQL and data analysis skills
Experience troubleshooting claims processing issues in a Facets environment
Understanding of X12 transactions (837/835)
Develop and support processing for inbound 837 and outbound 835 transactions using Facets HIPAA Gateway
Implement data transformations and validations aligned with Facets data structures and claims processing flows
Work with Facets external claims database and related interfaces for data validation and troubleshooting
Support configuration and execution of batch jobs related to claims processing
Troubleshoot end-to-end claims processing issues, including rejects, errors, and reconciliation gaps
Collaborate with EDI and Facets teams to ensure proper transaction flow and data integrity
Support parity validation activities between source claims data and adjudicated outputs
Expected to operate with minimal ramp-up given the accelerated POC timeline.
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