EDI Specialist

Client: HCATitle: EDI - Electronic Data Interchange File Claiming Specialist

Location: 120 Brentwood Commons Way 8th floor Brentwood TN 37027

Duration: 6 Months

Pay Rate: $18/hr

Shift: 8 hours -Flexible between 6a-6p Monday - Friday

What are the desired traits/experiences that the Manager would most like to see1. 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 problem2. PC skills - demonstrates proficiency in Microsoft Office applications and others as required3. Customer orientation - establishes and maintains long-term customer relationships building trust and respect by consistently meeting and exceeding expectations

Education-High school diploma or GED preferred

ExperienceMinimum one year related healthcare experience in medical claims billing both paper and electronic preferred. Relevant education may substitute experience requirement.

Job Summary The Electronic Data Interchange (EDI) Claims Filing Specialist is responsible for ensuring claims are successfully and accurately submitted to payors electronically or viapaper while ensuring all required and requested documentation is EDI ManagerSupervises 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

Physical Demands / Working Conditions Requires prolonged sitting/standing some bending stooping walking and stretching. Requires eye-hand coordination and manualdexterity sufficient to operate a keyboard photocopier telephone calculator and other office equipment. Requires normal range of hearing and eyesight to record prepare andcommunicate 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 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.