Electronic Data Interchange Claims Filing Specialist

JobsRUs.com

is seeking to hire a Electronic Data Interchange Claims Filing Specialist for our client in Brentwood, TN!

Benefits Available!

Weekly Pay!

$17.28 / Hour

Shift Details : 7 : 00AM-4 : 00PM

DESCRIPTION :

What are the desired traits / experiences that the Manager would most like to see?

Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes; able to work quickly and accurately in a fast-paced environment while managing multiple demands;

able to work both independently and collaboratively as a team player; demonstrates adaptability, analytical and problem

PC skills - demonstrates proficiency in Microsoft Office applications and others as required

Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations

Electronic Data Interchange Claims Filing Specialist

Job Summary The Electronic Data Interchange (EDI) Claims Filing Specialist is responsible

for ensuring claims are successfully and accurately submitted to payors electronically or via

paper, while ensuring all required and requested documentation is provided

Supervisor EDI Manager

Supervises None

Duties (included but not limited to)

Review and prepare claims in compliance with departmental policies and procedures in

order to file with payors either manually or electronically

Accurately correct billing and clearinghouse errors in order to submit claims to payors

Appropriately research and / or forward any payor filing requirements needing additional

information to accurately resolve, including updating the filing method

Responsible for working daily reconciliations to ensure all claims are accounted for

between the billing system, work queue system, and clearinghouse

Review correspondence received and perform appropriate action to resolve

Meet and maintain established departmental performance metrics for production and

quality

Maintain working knowledge of workflow, systems, and tools used in the department

Practice and adhere to the Code of Conduct philosophy and Mission and Value

Statement

Other duties as assigned

Knowledge, Skills, and Abilities :

Communication - communicates clearly and concisely, verbally and in writing, utilizing

proper punctuation and correct spelling

Customer orientation - establishes and maintains long-term customer relationships,

building trust and respect by consistently meeting and exceeding expectations

Interpersonal skills - able to work effectively with other employees, patients, and

external parties

PC skills - demonstrates proficiency in Microsoft Office applications and others as

required

Policies & Procedures - demonstrates knowledge and understanding of organizational

policies, procedures, and systems

Basic skills - demonstrates ability to organize, perform and track multiple tasks

accurately in short timeframes; able to work quickly and accurately in a fast-paced

environment while managing multiple demands; able to work both independently and

collaboratively as a team player; demonstrates adaptability, analytical and problem

solving skills, and attention to detail; and able to perform basic mathematical

calculations, balance and reconcile figures, and transcribe accurately

Education :

High school diploma or GED preferred

Experience :

Minimum one year related healthcare experience in medical claims billing, both paper and

electronic, preferred

Relevant education may substitute experience requirement.

Certificate / License

None

Physical Demands / Working Conditions :

Requires prolonged sitting / standing, some

bending, stooping, walking and stretching

Requires eye-hand coordination and manual

dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office

equipment

Requires normal range of hearing and eyesight to record, prepare and

communicate appropriate reports or other information

Requires lifting papers / boxes and

pushing / pulling up to 25 pounds occasionally

Work is performed in an office environment or hospital setting

Work may be stressful at times

Contact may involve dealing with angry or upset people

Staff must remain flexible and available to provide staffing assistance for any / all disaster or emergency situations.

OSHA Category The normal work routine involves no exposure to blood, body fluids, or

tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids)

Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way.

General Comments :

Health Requirements : None but must be able to lift 10-15 lbs.