OR

Lead Consultant

Orcapod Consulting Services
Chennai5-10 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. 
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