Location: Brentwood, TNDuration: 6-month ContractPay Rate: $18/hour on W2Job 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.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 electronicallyAccurately correct billing and clearinghouse errors in order to submit claims to payorsAppropriately research and/or forward any payor filing requirements needing additional information to accurately resolve, including updating the filing methodResponsible for working daily reconciliations to ensure all claims are accounted for between the billing system, work queue system, and clearinghouseReview correspondence received and perform appropriate action to resolveMeet and maintain established departmental performance metrics for production and qualityMaintain 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 assignedKnowledge, Skills, and Abilities:Communication - communicates clearly and concisely, verbally and in writing, utilizing proper punctuation and correct spellingCustomer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectationsInterpersonal skills - able to work effectively with other employees, patients, and external partiesPC skills - demonstrates proficiency in Microsoft Office applications and others as requiredPolicies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, and systemsBasic 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 accuratelyEducation: High school diploma or GED preferredExperience:Minimum one year related healthcare experience in medical claims billing, both paper and electronic, preferred.Relevant education may substitute experience requirement.
