OROrcapod Consulting Services
Lead Consultant
Bangalore ₹5-10 LPA Posted 25 Mar 2026
FULL TIME
Edi
Sql
Claims Processing
Job Description
Key Responsibilities:
- Develop and configure EDIFECS XEServer profiles (Realtime & Batch) including Validation, Translation, Routing, and CORE profiles.
- Set up Trading Partners, Agreements, and Trade Relationships using Trading Manager (TM) and Encounter Management (EM).
- Customize HIPAA guidelines (ECS files) using SpecBuilder.
- Implement SNIP Level 1–7 validations using JavaScript and ActionScript rules.
- Develop and enhance mappings using MapBuilder for:
- HIPAA X12 (837, 835, 999, 277CA, 271)
- XML and Flat/Delimited files
- Work on Claims to Encounters workflow and healthcare EDI implementations.
- Handle enhancements for 837, 835, 999, 277CA transactions and implement resend logic and denial updates.
- Develop EDIFACT mappings (ORDERS, ORDRSP, INVOIC) and XML conversions.
- Perform production support, analyze logs, and resolve defects.
- Work on JIRA/ServiceNow tickets, implement fixes, and enhancements.
- Execute SQL stored procedures, SFTP configurations, and error-handling mechanisms.
- Provide technical leadership, mentor junior developers, and collaborate with stakeholders.