Electronic Data Interchange Claims Filing Specialist (...

Position Title: Electronic Data Interchange (EDI) Claims Filing Specialist Location: Brentwood, TN (Onsite) Pay Rate: $18/hour Contract Duration: 6 months Position Overview We are seeking a detail-oriented EDI Claims Filing Specialist to support healthcare billing operations by ensuring claims are accurately submitted to payors through electronic and paper filing methods. This role is responsible for reviewing claims, resolving billing errors, reconciling submission data, and ensuring all required documentation is included for successful claim processing. The ideal candidate has experience in medical billing, claims processing, or healthcare revenue cycle operations and thrives in a fast-paced, accuracy-driven environment. Key Responsibilities Review and prepare medical claims to ensure compliance with departmental policies and payor requirements Submit claims electronically through clearinghouses or via manual paper filing when necessary Identify and correct billing errors, clearinghouse rejections, and submission issues Research payor filing requirements and gather additional documentation when needed Maintain and update claim filing methods based on payor guidelines Perform daily reconciliations to ensure all claims are properly accounted for across billing systems, work queues, and clearinghouses Review correspondence from payors and take appropriate actions to resolve claim issues Maintain productivity and quality metrics established by the department Maintain working knowledge of internal workflows, systems, and tools used in claims processing Adhere to company policies, compliance standards, and Code of Conduct Support additional tasks and projects as assigned Required Skills & Competencies Strong written and verbal communication skills Ability to work efficiently and accurately in a fast-paced environment Excellent attention to detail and problem-solving abilities Ability to manage multiple tasks and prioritize workload effectively Strong interpersonal skills with the ability to collaborate with internal teams and external stakeholders Proficiency in Microsoft Office (Word, Excel, Outlook) Basic mathematical and reconciliation skills for balancing and verifying claim data Preferred Qualifications High school diploma or GED 1+ year of healthcare experience in medical billing or claims processing (paper and electronic claims preferred) Experience working with EDI claims, clearinghouses, or revenue cycle systems Relevant education or training may be considered in place of experience.

Created: 2026-03-14