EDI Enrollments Specialist Job at Candid Health, San Francisco, CA

S05SbXRhVmZBV2ord0ZNRHNWZit1OUtKS3c9PQ==
  • Candid Health
  • San Francisco, CA

Job Description

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.

Job Tags

Hourly pay,

Similar Jobs

The Yard Milkshake Bar Atlanta

Weekend Customer Service Team Member Job at The Yard Milkshake Bar Atlanta

 ...friendly Team Members to join our newest location in Atlanta, GA! ** WEEKENDS ONLY ** We are located at 341 Marietta St NW - right in the...  ...downtown Atlanta. Our ideal candidate is a self-starter, hard-working, and reliable. As one of our Team Members you will: Dip,... 

Gulf Coast Symphony

Stage Crew Job at Gulf Coast Symphony

 ...States. The primary goal of the Gulf Coast Symphony to Create Community through Music. The organization boasts three primary performance...  ...artists, a history of active community engagement, and commitment to arts education are cornerstone characteristics of the organization.... 

Mutual of Omaha Mortgage

Salesforce Administrator Job at Mutual of Omaha Mortgage

 ...Salesforce Administrator Location: CA- Irvine / Hybrid Mutual of Omaha is a Fortune 300 Company. Mutual of Omaha Mortgage is inspired by hometown values and a commitment to being responsible and caring for each other. We exist for the benefit of our customers... 

Arch Aerial LLC

Photographer, Videographer, & Jr. UAS Pilot (Drone Pilot) - Blended Role Job at Arch Aerial LLC

 ...Arch Aerial LLC is seeking a highly motivated Photographer, Videographer, & Junior UAS Pilot (Drone Pilot) to create and collect both captivating content via ground photography and videography, as well as capture high utility industrial inspection data (for our construction... 

Bath Planet

Field Canvasser Job at Bath Planet

 ...success! What Youll Do: Connect with homeowners and share our outstanding services and products! Schedule FREE in-home consultations with our expert design consultants. Hit the streets, spread the word, and make a real difference in your community. ...