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JobsRUs.com. is seeking to hire a Electronic Data Interchange Claims Filing Specialist for our client in Brentwood, TN!
Benefits Available!
Weekly Pay!
Pay Rate - $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.
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