Healthcare EDI Analyst - Remote
ExpediaSalary not specified
- Full Time
- Junior (1 to 2 years)
$46,640 – $56,760Compensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, HealthtechIndustries
Requirements
Candidates should have at least 2 years of experience in revenue cycle management within healthcare or healthtech. Experience with EDI enrollment is preferred, and familiarity with Change Healthcare is a plus. Excellent oral and written communication skills, effective multitasking abilities, and a positive attitude are essential. An investigative mindset with the ability to analyze data and suggest actions is required.
Responsibilities
The EDI Enrollments Specialist will prepare and submit applications for configuring Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and payer portals. They will initiate investigations with payers regarding provider enrollment denials and errors, review correspondence from payers for resolution, and act as a liaison between the RCM department and Strategy & Operations team. The specialist will maintain accurate enrollment records, meet KPIs for production and quality, and ensure compliance with HIPAA guidelines.
Skills
EDI Enrollment
Revenue Cycle Management
Healthcare
Healthtech
Change Healthcare
EDI Claims
ERA
EFT
Payer Enrollment
HIPAA Compliance
Investigation
Communication (Oral)
Communication (Written)
Candid Health
Automated revenue cycle management platform for healthcare
About Candid Health
Candid Health specializes in automated revenue cycle management for healthcare providers. Its platform identifies and resolves issues that impact revenue cycles, helping to optimize insurance collections. The platform is designed to integrate seamlessly with various healthcare infrastructures, whether custom-built or commercial. Clients pay a subscription fee for access to the platform, which allows them to streamline their billing processes and improve revenue collection rates. Candid Health differentiates itself by focusing on automation and ease of integration, making it a reliable choice for healthcare providers seeking efficient billing solutions. The company's goal is to enhance the financial performance of healthcare providers by simplifying and improving their revenue cycle management.
Key Metrics
San Francisco, CaliforniaHeadquarters
2019Year Founded
$43.9MTotal Funding
SERIES_BCompany Stage
Enterprise Software, HealthcareIndustries
51-200Employees