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.
...Aug 27 2024 Job Description: Title:Adjunct Faculty Chemistry Unit:DCE Collective Bargaining Agreement: DCE CBA Department... ...courses (i.e. General chemistry, Principles of Chemistry, Organic Chemistry) in accordance with description published in catalog...
... 2-year degree from an accredited university in Culinary Arts, Hotel and Restaurant Management, or related major; 4 years experience... ...process for direct report managers. Interacts with the Banquet Chef and Catering department on training regarding food knowledge and...
...Job Details: Senior Legal Billing Coordinator - NYC - $85-115k - A flexible, hybrid schedule is available with this opportunity - in office 2x per week! Prior/current law firm/legal billing experience is required!!!! We are seeking a highly motivated and experienced...
OASIS Surgery Center is looking to add an experienced Register Nurse Circulator to its busy, growing ambulatory surgery center. The Registered Nurse Circulator is responsible for the direct and indirect provision of professional nursing care of patients within the perioperative...
...a national non-profit dedicated to helping individuals with substance use and mental health disorders. Established in 1968, Gateway... ...of skills in a unique healthcare setting Substance Abuse Counselors are responsible for: Under direct supervision, provides support...