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 submitting and troubleshooting EDI enrollments

- 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