Medical Billing Specialist; EMC​/EDI

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 Med Staffing 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 Next Gen. Ideal for detail-oriented billing professionals experienced in EDI transaction workflows and healthcare claims processing.

• Claims Management: Review, correct, and update billing encounters using RCx Rules, Waystar, and Next Gen.
• 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 Next Gen tasking and email systems.
• Data Integrity: Maintain accurate provider master records and clean claim data, supporting internal billing workflows and collection updates.

• Experience: Previous experience in medical billing, insurance claims processing, or healthcare EDI required.
• Technical
  
  Skills:
  
  Proficient in medical billing systems like Next Gen 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.

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