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.
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