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 tot his job