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Electronic Data Interchange Specialist | Savannah

Job Description:

Optim Healthcare is seeking a full time EDI Specialist for our Savannah location.

Job Requirements:

  • Balancing of daily totals from paragon to relay system.  Accessing Relay billing and reviewing accounts for NCCI edits and errors.
  • Correct errors for claims submission to include insurance names, policy number, modifiers and charge review. Emailing charge posters regarding possible coding errors.
  • Printing daily claims and mailing with notes attached. Distributing secondary claims to billers to be mailed out.
  • Running daily reports for claim submission totals monthly reports, claim error reports and following up.
  • Performs other work duties and assignments as required.

Additional Requirements:

  • Must have knowledge and ability in medical office procedures and a basic knowledge of coding and the ability to use the necessary coding books and materials.
  • Knowledge of medical billing practices as well as insurance company operating procedures and practices as they relate.
  • Knowledge of basic medical coding, CPT and diagnosis codes.
  • Knowledge of insurance company procedures and practices.
  • Knowledge of governmental legal and regulatory provisions related to collection activities.
  • Skill with computer applications and use of calculator.
  • Ability to deal courteously with patients, co-workers and others.
  • Ability to communicate clearly and follow written and oral instructions.

Optim Offers:

  • Competitive Pay
  • Company Benefits
  • Vacation, Personal Time Off, and Sick Leave
  • Holiday Pay
  • 401K Plan

Apply for this position by sending your resume and cover letter to staffing@optimhealth.com