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 $25-$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.