Electronic Data Interchange Specialist

A company is looking for an Electronic Data Interchange Specialist.

Key Responsibilities

Ensure accurate billing and compliance of claims processed through Electronic Medical Records and Practice Management Software

Conduct random audits for proper coding and follow up on complex insurance denials or unpaid balances

Identify trends and report findings while maintaining knowledge of insurance guidelines and coding changes

Required Qualifications, Training, and Education

High School diploma or GED required

Preferred certifications include CPB, CPC, CPC-A, CCS, or CHONC

Minimum of two years of experience in medical billing, coding, or insurance collections

Understanding of insurance billing processes and medical coding terminology

Preferred experience in Medical Oncology, Radiology, Radiation, Laboratory, or Pathology