EDI Enrollments Specialist
What You’ll Be Doing
• You’ll prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals
• You’ll prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers
• You’ll initiate investigation with payers regarding provider enrollment denials and errors
• You’ll review correspondence received from payers and action appropriately for resolution
• You’ll work as a liaison between the RCM department and Strategy & Operations team to discuss, investigate, and resolve enrollment tasks
• You’ll interact with our customers through excellent written and verbal communication
• You’ll maintain up-to-date and accurate enrollment records within the Candid Health product
• You’ll meet and maintain KPIs/metrics for production and quality
• You’ll maintain working knowledge of workflow, systems, and tools used in the department
• You’ll maintain HIPAA guidelines
Who You Are
• You have at least 2 year of experience in revenue cycle management (for medical billing or within healthcare/healthtech)
• You may have experience with EDI enrollment, Change Healthcare experience is a plus
• You have an investigative mindset and you are comfortable running down problems and suggesting actions based on data
• You are a self starter
• You take pride in your craft and enjoy maintaining a high quality bar, but also believe that “done is better than perfect” and have good intuition around which corners are okay to cut and which aren’t.
• You have excellent oral and written communication skills
• You have effective multitasking skills
• You have a positive and cooperative attitude in working and communicating with individuals at all levels of the organization
Pay Transparency
The estimated starting annual salary range for this position is $22-$27 USD per hour. The listed range is a guideline from Pave data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc.
Apply Now
• You’ll prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals
• You’ll prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers
• You’ll initiate investigation with payers regarding provider enrollment denials and errors
• You’ll review correspondence received from payers and action appropriately for resolution
• You’ll work as a liaison between the RCM department and Strategy & Operations team to discuss, investigate, and resolve enrollment tasks
• You’ll interact with our customers through excellent written and verbal communication
• You’ll maintain up-to-date and accurate enrollment records within the Candid Health product
• You’ll meet and maintain KPIs/metrics for production and quality
• You’ll maintain working knowledge of workflow, systems, and tools used in the department
• You’ll maintain HIPAA guidelines
Who You Are
• You have at least 2 year of experience in revenue cycle management (for medical billing or within healthcare/healthtech)
• You may have experience with EDI enrollment, Change Healthcare experience is a plus
• You have an investigative mindset and you are comfortable running down problems and suggesting actions based on data
• You are a self starter
• You take pride in your craft and enjoy maintaining a high quality bar, but also believe that “done is better than perfect” and have good intuition around which corners are okay to cut and which aren’t.
• You have excellent oral and written communication skills
• You have effective multitasking skills
• You have a positive and cooperative attitude in working and communicating with individuals at all levels of the organization
Pay Transparency
The estimated starting annual salary range for this position is $22-$27 USD per hour. The listed range is a guideline from Pave data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc.
Apply Now