Title: Electronic Document Specialist
Hiring Organization: Connexion Systems & Engineering
Compensation, Benefits, and Employment Type
- Duration: temp-to-perm (15 weeks to hire)
- Pay rate: $19/hr
- Job Location: Billerica, MA
- Schedule: 1st shift, standard business hours
- Job#: bh16149
Purpose
To ensure timely filing of insurance carrier claims, bank file retrieval, statement processing, accurate Explanation of Benefits (EOB) filing, and file 835 retrieval. Will train entry-level candidates with strong Data Entry skills in Excel and strong communication skills.
Qualifications
Education (Degrees, Certificates, Licenses, Etc.)
- High School Diploma or equivalent combination of education and experience required.
Experience
- Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
- One to two years related experience with prior experience of EDI operations preferred (not required).
Specific Job Knowledge, Skill and Ability
- Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals
- Ability to adjust to new processes and suggest improvements as you discover the need
- Ability to compute rates, ratios and percentages
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
- Ability to write routine reports and correspondence
- Ability to communicate effectively verbally and in writing
- Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
- Ability to deal with problems involving several concrete variables in standardized situations
- Specific vision abilities required by this job include close vision
- Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms
Duties and Responsibilities
- Sending of 837 files
- Run validations in the Ntierprise software system on claims data to ensure billing integrity
- Prepare the electronic claims to be sent
- Collection of 835 files
- Electronically matching insurance payments to the correct practice in Allscripts PM
- 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
- Reconcile electronic payments by retrieving electronic bank files for each client and matching payments or denials to the corresponding insurance carrier
- Scanning/PDF images
- Access and store EOBs and related documents into the Touch Chart filing software system
- Adhere to the Code of Conduct and be familiar with all compliance policies and procedures
Please use the apply button to submit your resume for consideration. A Connexion Representative will contact you shortly.
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