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 Medical Billing Specialist (EMC / EDI) in Westchester County, NY. The role involves managing electronic claims submissions and resolving billing errors. Ideal candidates are detail-oriented billing professionals experienced in EDI transaction workflows and healthcare claims processing. This temp-to-perm position offers hours from Monday to Friday, 8:00 AM to 4:30 PM with a compensation of $21/hour.

Qualifications

• Previous experience in medical billing, insurance claims processing, or healthcare EDI required.
• Proficient in medical billing systems like NextGen with strong knowledge of EMC and EDI workflows.
• Familiarity with payer processes, CPT/ICD coding basics, and electronic clearinghouse operations.

Responsibilities

• Review, correct, and update billing encounters using RCx Rules, Waystar, and NextGen.
• Submit primary, secondary, and ancillary claims via EMC/EDI files to clearinghouses.
• Run pre-bill reports and daily edits to ensure coding accuracy and billing compliance.
• Address clearinghouse rejections and system errors promptly using NextGen tasking.
• Maintain accurate provider master records and clean claim data.

Skills

Detail-oriented

Strong communication skills

Multitasking

Problem-solving

Tools

NextGen

Waystar

RCx Rules

Job description

Job Overview

Medical Billing Specialist (EMC / EDI)

Location: Westchester County, NY

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

Compensation: $21/hour

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.

Seniority Level

Associate

Employment Type

Temporary

Job Function

Accounting/Auditing, Finance, and Health Care Provider

Industries

Medical Practices, Financial Services, and Accounting

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