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.
...who investigate and write about budget and economic policies in the United States. The team... ...Foundation. Requirements Masters degree in public policy, public administration,... ...relationships with managers and colleagues at all levels In order to build productive...
...Call Center Representative Spanish Bilingual - Roadside Assistance. As a remote, work from home AAA Roadside Assistance Call Center Representative - bilingual in Spanish / English, you are the first point of contact for our valued members facing dist Roadside, Call Center...
...available to expand knowledge/expertise into the electronic security field for additional career potential. Qualifications * No locksmithing experience is necessary, but applicant must be mechanically included, a problem solver and have comfortable experience working...
...The Opportunity This is a great opportunity for a junior or entry-level designer whos passionate about residential design and ready... ...this role, you'll: Support the design and sales process by assisting with client meetings, preparing design presentations, and helping...
...Health Advocates Network - Nursing is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Englewood, Colorado. Job Description & Requirements ~ Specialty: Research / Clinical Research ~ Discipline: RN ~ Start Date: 09/15/2025...