The Electronic Data Interchange Specialist is responsible for all communication and research regarding unbilled accounts, including Clearinghouse edits and rejections.
Responsible for all billing functions for paper claims and electronic submissions.
EDI Specialist manages the Billing Work In Progress and keeps the unreleased claim rate under established guidelines. The Electronic Data Interchange Specialist reports directly to the Electronic Data Interchange Supervisor.
High School Diploma or GED (Required).
Experience and Skills: 1-3 Years Prior Medical Billing and Follow up Experience (Preferred).
Excellent communications skills, excellent interpersonal skills, effective analytical and problem solving skills, ability to operate PC based software programs, knowledge of state/federal healthcare. compliance requirements, knowledge of healthcare claim forms, good organizational and prioritization skills.