EDI Specialist

Bedford, MA 01730

Employment Type: Contract to Perm Specialty: KNF&T Job Number: 253576

Job Description


Our Bedford, MA client is looking for an EDI Specialist. To ensure timely filing of insurance carrier claims, bank file retrieval, statement processing, accurate Explanation of Benefits (EOB) filing, and 835 retrieval. Only local  candidates please. 

 

Duties and Responsibilities

1.          Sending of 837 files

a.          Run validations in the Ntierprise software system on claims data to ensure billing integrity

b.          Prepare the electronic claims to be sent

2.          Collection of 835 files

a.          Electronically matching insurance payments to the correct practice in Allscripts PM

3.          Review on a daily basis the Insurance Carrier Reports to resolve discrepancies or incomplete claims and send unresolved issues to the proper department or an Account Manager for follow up

4.          Reconcile electronic payments by retrieving electronic bank files for each client and matching payments or denials to the corresponding insurance carrier

5.          Scanning/PDF images

6.          Access and store EOBs and related documents into the Touch Chart filing software system

 

 

Qualifications:

To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.



 

Education (Degrees, Certificates, Licenses, Etc.)

High School Diploma or equivalent combination of education and experience required.

 

Computer Skills

Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

 


If interested in this position, please send your resume directly to bandrade@knft.com



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