THE ARCHITECT : Electronic Data Interchange Specialist – Team Lead

Wonder Worth Solutions LLC; Vellore; On-site; INR 600,000 - 800,000; Full time

Benefits offered by this job

Full training in EDI systems

Career growth opportunities

Hands-on experience in EDI systems

Job summary

Wonder Worth Solutions LLC in Vellore, Tamil Nadu, is seeking an EDI Architect to manage trading partner onboarding and ensure compliance with healthcare billing standards. You will be responsible for monitoring real-time transmissions, handling errors, and driving operational performance through data mapping and automation improvements.

Ideal candidates will have over 3 years of experience in healthcare transactions and a bachelor's degree. The position offers robust training and growth opportunities in a dynamic industry.

Qualifications

• 3+ years of experience in healthcare transactions or data mapping.
• Strong understanding of EDI workflows and HIPAA/ANSI X12 standards.
• Experience in team leadership and driving operational performance.

Responsibilities

• Manage trading partner onboarding and data mapping.
• Monitor real-time transmissions and handle EDI errors.
• Ensure regulatory compliance with HIPAA/ANSI X12 standards.

Skills

Healthcare transactions experience

Leadership skills

EDI workflows understanding

Analytical skills

Effective communication

Education

Bachelor's degree

Job description

• EDI is the invisible infrastructure of healthcare billing. As The Architect, you will manage trading partner onboarding, data mapping, HIPAA/ANSI X12 compliance, real-time transmission monitoring, error resolution, integrations, and automation improvements.
• You identify silent failures before they impact operations and ensure claims, eligibility checks, and remittance transactions move accurately and seamlessly across every payer connection.

What You Will Own – Your Responsibilities :

• Trading Partner Onboarding — Configure mappings, validate formats, and ensure HIPAA/ANSI X12 compliance
• EDI Error Handling — Monitor real-time transmissions, identify root causes, and document resolutions
• Data Mapping & Integration — Maintain accurate system and payer data mappings
• Performance Monitoring — Track transaction success rates, error trends, and transmission health
• Regulatory Compliance — Ensure adherence to HIPAA/ANSI X12 and payer standards
• Automation Improvement — Reduce manual EDI tasks through workflow automation

Non-Negotiable Metric :

• Percentage of EDI transactions processed successfully without transmission or mapping errors across all trading partners monthly.

The Fight: What You will Fight:

• The unmapped field
• The broken payer configuration
• The failed transmission hidden inside thousands of successful ones
• The unnoticed rejection that delays revenue downstream

No one sees the failure until claims stop moving – Your responsibility is to see it first.

WHO THRIVES HERE : Three Traits We Cannot Teach

• System Thinking — Identify root configuration issues and prevent recurring failures
• Precision in Format — Ensure accurate EDI mappings and error-free transmissions
• Calm Under Pressure — Resolve EDI failures with structured troubleshooting and clear root-cause analysis

THE WWS PERKS :

• Full training in EDI systems and HIPAA/ANSI X12 standards
• Exposure to payer integrations and healthcare transaction workflows
• Clear ownership and performance-driven operations
• Hands‑on experience in EDI systems and automation
• Career growth opportunities in healthcare operations
• Culture focused on reliability, accountability, and system performance

Qualifications:

• Experience: 3+ years of experience in healthcare transactions, data mapping or documentation work with team leadership.
• Education: Bachelor’s degree in any discipline.
• Technical Understanding: Strong understanding of EDI workflows, HIPAA/ANSI X12 standards, and healthcare transaction systems.
• Leadership Skills: Experience in handling teams, driving operational performance, and managing issue escalations.
• Analytical Skills: Strong troubleshooting and root‑cause analysis abilities.
• Communication: Effective coordination with internal teams, payers, clients, and stakeholders.
• Documentation: Proficient in maintaining clear, structured, and audit‑ready documentation.

WWS Offers A Wide Range Of Services That Give Our Clients The Complete Platform To Comprehending The Entire Medical Practise Workflow. Wws Is Now One Of The Fastest Growing Revenue Cycle Management Companies In The United States.

Wonder Worth Solutions LLC
2711, Centerville Road, Suite 400, Wilmington, Delaware, United States – 19808.