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EDI Insurance Specialist in Bedford, MA at Staffing Now

Date Posted: 10/30/2019

Job Snapshot

Job Description


The Electronic Data Interchange (EDI) Specialist is responsible for identifying, resolving and maintaining system edits using EPIC, E-Clinical Works and the market specific clearinghouse. This individual will review and track claim rejections to identify and resolve existing or potential issues that would impact efficient and accurate claims adjudication and/or claim status.

JOB REQUIREMENTS

Education

  • High School diploma or GED required
  • Associates degree in related field preferred


Work Experience

  • 2+ years of related experience and/or training required
  • Experience working claim edits
  • Clearinghouse experience required


Additional Knowledge, Skills and Abilities Required

  • Knowledge of governmental and commercial insurance billing requirements.
  • Understanding of the revenue cycle workflow.
  • Ability to effectively manage competing priorities, and a sense of urgency.