Electronic Data Interchange Specialist

Job Summary

Electronic Data Interchange Specialist is a full-time position responsible for ensuring accurate billing and compliance of claims processed through Electronic Medical Records and Practice Management Software, conducting audits, and staying updated on coding changes.

Key Responsibilities

• Meet production and quality standards for claims processing
• Follow up on complex insurance denials and unpaid balances
• Conduct audits and file appeals while updating patient demographics

Required Qualifications, Training, and Education

• High School diploma or GED required
• Preferred certifications: 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 systems (CPT, ICD-10-CM, HCPCS)
• Experience in Medical Oncology, Radiology, Radiation, Laboratory, or Pathology preferred