Claims Processing - EDI Specialist

What you’ll do… This position will be responsible for handling the day-to-day functions related to the successful posting of dental insurance claims. This position is responsible for processing payments to accounts according to company policies. The role will complete all phases of Claims Processing training and will be required to meet set deadlines and departmental standards of accuracy. This position also requires basic knowledge of EDI functions. The right candidate will be able to assist with identifying ERA posting discrepancies and working with our IT department to correct ERA logic errors. This position is located at the GEDC Practice Support Center in Southfield, MI and would require an on-site presence 5 days per week. What you’ll bring to the team… Post fundamental payer payments as assigned Follow denial protocols and procedures to correct or adjust claims Assist with departmental administrative duties Post patient payments to accounts Balance payment batches daily Identify and resolve EDI/ERA posting errors Other tasks as requested by direct Manager What we require you have… High school diploma or GED Billing & Coding Certificate required or 2 years Claims Processing experience Understanding of Medicare / Medicaid laws, managed care, and commercial health insurance a plus Understanding EDI/ERA logic Must possess high degree of professionalism and adaptability 10-Key & Alpha Numeric Data Entry with speed and accuracy                Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), Windows file management, database, electronic health/medical records and patient billing and other medical information systems Team Player High level of detail orientation and organizational skills Basic math and analytical abilities Ability to work independently and professionally in a high volume environment Ability to maintain confidentiality Must have predictable and consistent attendance