Claims Processing - EDI Specialist
Claims Processing - EDI Specialist
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Salary Not Disclosed
1 Vacancy
Job Description
What youll do
This position will be responsible for handling the day-to-day functions related to the successful posting of dental insurance claims. This position is responsible for processing payments to accounts according to company policies. The role will complete all phases of Claims Processing training and will be required to meet set deadlines and departmental standards of accuracy. This position also requires basic knowledge of EDI functions. The right candidate will be able to assist with identifying ERA posting discrepancies and working with our IT department to correct ERA logic errors.
This position is located at the GEDC Practice Support Center in Southfield MI and would require an on-site presence 5 days per week.
What youll bring to the team
- Post fundamental payer payments as assigned
- Follow denial protocols and procedures to correct or adjust claims
- Assist with departmental administrative duties
- Post patient payments to accounts
- Balance payment batches daily
- Identify and resolve EDI/ERA posting errors
- Other tasks as requested by direct Manager
What we require you have
- High school diploma or GED
- Billing & Coding Certificate required or 2 years Claims Processing experience
- Understanding of Medicare / Medicaid laws managed care and commercial health insurance a plus
- Understanding EDI/ERA logic
- Must possess high degree of professionalism and adaptability
- 10-Key & Alpha Numeric Data Entry with speed and accuracy
- Proficient in the use of end-user computer applications regarding productivity (MS Word Excel Outlook) Windows file management database electronic health/medical records and patient billing and other medical information systems
- Team Player
- High level of detail orientation and organizational skills
- Basic math and analytical abilities
- Ability to work independently and professionally in a high volume environment
- Ability to maintain confidentiality
- Must have predictable and consistent attendance
About GEDC
Since 1982 Great Expressions has been at the forefront of dental innovation setting the standard for exceptional care and unforgettable patient experiences. Now were entering a new era of transformation and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. Were channeling our resources and energy into revolutionizing our technology platform expanding service offerings and creating a personalized patient experience that goes beyond the expected. At Great Expressions were not just transforming dentistry; were investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism where your contribution shapes the future of dental excellence.
#IND8
GEDC is committed to diversity and inclusion and is proud to be an equal opportunity employer. All qualified applicants are welcomed and encouraged to apply.
Other details
- Job FamilyClaims Processing
- Job FunctionRevenue Cycle
- Pay TypeHourly
Required Experience:
Unclear Seniority
Employment Type
Hourly
