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EDI Claims Filing Specialist

Company

Nesco Resource

Location

Brentwood, Tennessee

Type

Full-time

Electronic Data Interchange (EDI) Claims Filing Specialist

Location:
Brentwood, TN 37027

Shift:
8 hours-flexible between 6 am-6 pm, Monday through Friday

Reports to:
EDI Manager

Key Responsibilities:

  • Prepare claims for submission to payors, ensuring adherence to departmental policies.
  • Correct billing and clearinghouse errors to ensure successful claim submissions.
  • Research payor filing requirements and provide additional information as needed to resolve filing issues.
  • Perform daily reconciliations to account for all claims across the billing system, work queue system, and clearinghouse.
  • Process correspondence to resolve any claims-related inquiries.
  • Meet departmental performance metrics for production and quality.
  • Maintain proficiency with departmental workflows, systems, and tools.
  • Adhere to the organization's Code of Conduct” philosophy an...
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