Electronic Data Interchange Specialist

Job Summary

A company is looking for an Electronic Data Interchange Specialist.

Key Responsibilities

• Ensure accurate billing and compliance for claims processed through Electronic Medical Records and Practice Management Software
• Conduct random audits for proper coding and follow up on complex insurance denials or unpaid balances
• File appeals, update patient demographics, and identify trends for reporting

Required Qualifications, Training, and Education

• High School diploma or GED required
• Preferred certifications include CPB, CPC, CPC-A, CCS, or CHONC
• Minimum of two years of experience in medical billing, coding, or insurance collections
• Knowledge of medical terminology and coding terminology (CPT, ICD-10-CM, HCPCS)
• Experience in Medical Oncology, Radiology, Radiation, Laboratory, or Pathology preferred