EDI Specialist

The EDI Specialist is responsible for managing daily claim submission workflows to ensure claims are transmitted accurately and accepted by clearinghouses and payers in a timely manner. This role monitors electronic and paper claim submissions, resolves clearinghouse and payer front-end rejections, and ensures proper coordination of benefits for primary, secondary, and tertiary claims.

The position works closely with billing, registration, coding, and authorization teams to correct claim errors, address rejection trends, and support efficient front-end revenue cycle operations.