Full-Time

EDI Enrollments Specialist

Candid Health

Candid Health

51-200 employees

Medical insurance billing platform

AI & Machine Learning

$25 - $27hourly

Junior

San Francisco, CA, USA

Required Skills
Communications
Requirements
  • 2 years of experience in revenue cycle management
  • Experience with EDI enrollment
  • Investigative mindset
  • Excellent oral and written communication skills
  • Effective multitasking skills
  • Positive and cooperative attitude
Responsibilities
  • Preparing and submitting applications for EDI claims and ERA
  • Preparing and submitting applications for Electronic Funds Transfer (EFT) with payers
  • Initiating investigation with payers regarding provider enrollment denials and errors
  • Reviewing correspondence received from payers and taking appropriate action for resolution
  • Working as a liaison between the RCM department and Strategy & Operations team
  • Interacting with customers through excellent written and verbal communication
  • Maintaining up-to-date and accurate enrollment records within the Candid Health product
  • Meeting and maintaining KPIs/metrics for production and quality
  • Maintaining working knowledge of workflow, systems, and tools used in the department
  • Maintaining HIPAA guidelines

Candid Health is on a mission to fix one of the most broken and costly pieces of the US healthcare system: medical billing. Candid is rethinking medical billing from the ground up, building software backed by best-in-class data science to automate much of this complexity so healthcare providers can get paid dramatically more easily and inexpensively.

Company Stage

Series B

Total Funding

$53.7M

Headquarters

San Francisco, California

Founded

2019

Growth & Insights
Headcount

6 month growth

16%

1 year growth

56%

2 year growth

360%