EDI Claims Filing Specialist

Schedule: Monday-Friday Day Shift

This Work from Home position requires that you live and will perform the duties of the position within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

Do you want to join an organization that invests in you? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary and Qualifications

The Electronic Data Interchange (EDI) Claims Filing Specialist is responsible for ensuring claims are successfully and accurately submitted to payors electronically or via paper, while ensuring all required and requested documentation is provided.

What you will do in this role:

• Review and prepare claims in compliance with departmental policies and procedures in order to file with payors either manually or electronically.
• Accurately correct billing and clearinghouse errors in order to submit claims to payors.
• Appropriately research and/or forward any payor filing requirements needing additional information to accurately resolve, including updating the filing method.
• Responsible for working daily reconciliations to ensure all claims are accounted for between the billing system, work queue system, and clearinghouse.
• Review correspondence received and perform appropriate action to resolve.
• Meet and maintain established departmental performance metrics for production and quality.

What qualifications you will need:

• High school diploma or GED preferred.
• Minimum one year related healthcare experience in medical claims billing, both paper and electronic, preferred. Relevant education may substitute experience requirement.

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence.
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts.

Note: Eligibility for benefits may vary by location.

About Parallon

Parallon provides full-service revenue cycle management for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times.

"Good people beget good people." - Dr. Thomas Frist, Sr., HCA Healthcare Co-Founder.

We are a family of 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.