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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 : 1 st 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.

You may also send your resume and cover letter via email to the recruiter listed below. You MUST include the Job# and Job Title in your subject line.