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SysZen Technologies, Inc.
  Company Profile
SysZen is a leading technology services and solutions provider offering scalable, flexible, fully automated, and highly integrated solutions designed to manage the extended enterprise for optimal performance. As Business integration experts, the Company specializes in analysis, architecture, and development of solutions.
 
  Job Details 
Title: 

Hipaa Consultant : Warren, NJ

Posted On:  10/9/2020 1:22:17 AM
Designation: 

Hipaa Consultant

No. of vacancies:  3
Qualifications:  Bachelor*s Degree Required, Masters preferred
Essential Skills: 
Not specified
Minimum Total Experience:  10
Job Tenure:  No Preference/Any
Salary Offered:  doe
Job Location:  Warren, New Jersey United States

  Job Description
Description

Highpoint Solutions LLC is looking for strong Healthcare
candidates who are expert in Hipaa Looking for senior level Consultant with Project Management experience performing assessments and managing implementation of the HIPAA Transaction and Code Set requirements.

*10 Years Healthcare IT experience including: Strategic Planning, Technical Assessments, Business Process Analysis and Design, Project Management, Software Development
and Implementation. *Extensive consulting experience with HIPAA 4010A1 assessment and implementation projects *Solid understanding of HIPAA 5010 Requirements for the following transactions: o270/271: Health Care Eligibility, Coverage or Benefit Inquiry and Information Response o276/277: Health Care Claim Status Request and Response o278: Health Care Services Review -- Request for Review and Response o820: Premium Payment o834: Benefit Enrollment and Maintenance o835: Health Care Claim Payment/Remittance Advice o837P: Health Care Claim: Professional o837I: Health Care Claim: Institutional o837D: Health Care Claim: Dental *Knowledge in analyzing data flow and data mapping *Understanding of crosswalk between 4010A1 and 5010 standards, what*s possible and what*s not *Understanding of payer operations, and how business processes can impact the HIPAA transactions. Experience with implementation of the transactions in Commercial, Medicare, and Medicaid lines of business *Understanding of HIPAA Compliance levels: Level 1: Integrity Testing Level 2: Requirement Testing Level 3: Balancing Level 4: Situational Testing Level 5: Code Set Testing Level 6: Line of Business Testing Level 7: Trading
Partner Testing *Knowledge of EDI transaction platforms and mapping tools. Ability to assist clients with assessment and procurement of tools to support HIPAA transaction set implementation. *Good communication skills. Ability to go on sales call and provide sales support, prepare proposals, and powerpoint presentations. *Participation on X12 or WEDI is preferred *Bachelor*s Degree Required, Masters preferred

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