Medical Billing Specialist (EMC / EDI)

Job Description

Job Overview - Medical Billing Specialist (EMC / EDI) :

Compensation : $21 / hour

Location : Westchester County, NY

Schedule : Monday to Friday, 8 : 00 AM - 4 : 30 PM

TAG MedStaffing is hiring a Medical Billing Specialist (EMC / EDI) in Westchester County, NY, for our client. This temp-to-perm position involves managing electronic claims submissions, resolving billing errors, and ensuring clean data entry using systems like RCx Rules, Waystar, and NextGen. Ideal for detail-oriented billing professionals experienced in EDI transaction workflows and healthcare claims processing.

Responsibilities as the Medical Billing Specialist :

• Claims Management : Review, correct, and update billing encounters using RCx Rules, Waystar, and NextGen.
• EDI Processing : Submit primary, secondary, and ancillary claims via EMC / EDI files to clearinghouses and resolve transmission errors.
• Pre-Bill & Edits : Run pre-bill reports and daily edits to ensure coding accuracy and billing compliance.
• Rejection & Error Handling : Address clearinghouse rejections and system errors promptly using NextGen tasking and email systems.
• Data Integrity : Maintain accurate provider master records and clean claim data, supporting internal billing workflows and collection updates.

Qualifications for the Medical Billing Specialist :

Application Notice : Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, TAG MedStaffing will keep your resume on file for future opportunities and may contact you for further discussion.