Medical Billing Specialist (EMC / EDI)

TAG MedStaffing; New York (NY); On-site; USD 28,929; Full time

Job summary

A healthcare staffing agency is seeking a detail-oriented Medical Billing Specialist in Westchester County, NY. This temp-to-perm role focuses on managing electronic claims submissions and resolving billing issues. Candidates should have experience in medical billing, EDI workflows, and the ability to maintain accurate data. Schedule is Monday to Friday from 8:00 AM to 4:30 PM, with a compensation rate of $21/hour.

Qualifications

• Previous experience in medical billing and healthcare EDI required.
• Proficient in medical billing systems with knowledge of EMC and EDI workflows.
• Familiarity with CPT/ICD coding basics and payer processes.

Responsibilities

• Manage claims by reviewing and correcting billing encounters.
• Submit claims via EMC/EDI files and resolve transmission errors.
• Run pre-bill reports to ensure billing compliance.
• Handle clearinghouse rejections and system errors.
• Maintain accurate provider master records and claim data.

Skills

Medical billing experience

Insurance claims processing

Attention to detail

Strong communication skills

Problem-solving abilities

Tools

NextGen

Waystar

RCx Rules

Job description

Overview

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

• 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

• Experience: Previous experience in medical billing, insurance claims processing, or healthcare EDI required.
• Technical Skills: Proficient in medical billing systems like NextGen and Waystar, with strong knowledge of EMC and EDI workflows.
• Industry Knowledge: Familiarity with payer processes, CPT/ICD coding basics, and electronic clearinghouse operations.
• Skills & Attributes: Detail-oriented and proactive, with strong communication, multitasking, and problem-solving abilities for independent billing error resolution.

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.