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
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
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.
...and regulations. Practice safety procedures at all times including Personal Protective Equipment (PPE), fire extinguishers, Safety Data Sheets (SDS), and Lockout Tagout procedures. Report all accidents/incidents immediately. Report all unsafe and hazardous...
...offer flexible hours. Job Description Answer incoming calls using a multiple line phone system. Triage Phone calls to Medical Assistants and Providers Schedule Appointments, make referrals, send medical records Check patients in and out using...
...Join a high-impact Agile team supporting one of the nation's largest electronic healthcare modernization programs. The Instructional Designer and Developer (IDD) leads complex learning initiatives supporting a large-scale Federal electronic healthcare program. This...
...focus on student growth. Create a spiral curriculum across music, visual arts, drama, design, and related disciplines through structured... ...s visibility in the arts. Introduce or adapt high-profile international arts resources (e.g., RISD Summer School) in areas such as...
...Global Industrial About Global Industrial Global Industrial Company (NYSE: GIC) is a leading distributor of high-quality, industrial... ...observations and time studies on warehouse floor to implement engineered standards Other duties as assigned. Competencies and...