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.
Requirements:1. Native Korean or Chinese language speaker2. Very sensitive feel for language, non-tolerance for grammatical errors, strict skill in treating long sentences;3. At least 2 years of experience in game localization and translation;4. Passionate about video...
.... They are well respected, well capitalized with a robust project pipeline. About the Position: The Estimating and Preconstruction department is a fully integrated partnership between construction and development. Due to growth and a robust pipeline, leadership is...
...enough to deploy? We need qualified software testers to validate when the requirements of the... ...weeks ago. Difficult conversations for a QA Tester are rooted in discrepancies. When... ...who normally do not want to hear it.~Experience working in Agile development teams.~Experience...
...Talent International is a global leader in digital and technology recruitment. With over 250 employees, 10 offices and revenue of AUD $1... ...experience and success in developing and building a contract/freelance book of business. We have opportunities to join our Digital...
Description of the role:As a Sales Rep at Fort Brewery, you will play a crucial role in driving sales and ensuring the success of our... ...Worth, Texas. We pride ourselves on brewing high-quality craft beers that cater to a wide range of tastes. With a strong focus on...