EDI Specialist (Healthcare) | Work From Home (Pooling)

Salary: PHP 25,000 - PHP 30,000/ month

Job Description

• Submitting medical claims to the proper clearinghouse for the insurance payers to review and make the proper decision and payments.
• Processing & monitoring of all claim reports & electronic documents. (Electronic and Paper Claim Transactions). Logging in and tracking all submission and rejection information.
• Responsible for obtaining edit reports and repair claims for re submission, test, and ensure repairs are made in a timely manner. Make sure that the claim was sent to the proper clearinghouse.
• Backup the EDI claim submission and logging of information.
• Keeps an update of Policy, Regulations and Payer/Clearinghouse changes.
• Coordinating & testing all Electronic Data Interchange (EDI) implementations with new EDI partners & current clearinghouse.
• Coordinate and work with clearing houses or trading partners to resolve EDI issues such ...