EDI Enrollments Specialist

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Candid Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

💸 Finance

☁️ SaaS

💰 $150k Seed Round on 2020-03

Healthcare Insurance • Finance • SaaS

Candid Health is an innovative company providing a comprehensive revenue cycle automation platform tailored for healthcare providers. The platform helps streamline, automate, and optimize the entire revenue cycle, enabling healthcare organizations to enhance insurance collection rates and minimize billing issues. Candid Health offers seamless integration through modern APIs and direct connections with existing infrastructure, allowing for real-time opportunities to be pinpointed and claim issues to be prevented before they occur. This solution is particularly beneficial for fast-growing digital health companies aiming to improve financial health.

📋 Description

• 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

🎯 Requirements

• 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