[Remote] EDI Enrollments Specialist at Candid Health

Remote

Candid Health Logo
$46,640 – $56,760Compensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, HealthtechIndustries

Skills

Key technologies and capabilities for this role

EDI EnrollmentRevenue Cycle ManagementHealthcareHealthtechChange HealthcareEDI ClaimsERAEFTPayer EnrollmentHIPAA ComplianceInvestigationCommunication (Oral)Communication (Written)

Questions & Answers

Common questions about this position

What is the pay for the EDI Enrollments Specialist role?

The estimated starting salary range is $22 - $27 USD per hour. The actual base salary may be modified based on factors like skills, experience, interview performance, and market data.

Is this position remote?

Yes, this is a remote position.

What skills and experience are required for this role?

Candidates need at least 2 years of experience in revenue cycle management in healthcare or healthtech, an investigative mindset, excellent communication skills, effective multitasking, and knowledge of HIPAA guidelines. EDI enrollment experience is preferred, and Change Healthcare experience is a plus.

What are the main responsibilities of this position?

Responsibilities include preparing and submitting EDI claims/ERA and EFT applications, investigating payer enrollment issues, reviewing payer correspondence, acting as a liaison between RCM and Strategy & Operations, interacting with customers, maintaining enrollment records, and meeting KPIs.

Is this a full-time or contract position?

This is a contract position.

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.

San Francisco, CaliforniaHeadquarters
2019Year Founded
$43.9MTotal Funding
SERIES_BCompany Stage
Enterprise Software, HealthcareIndustries
51-200Employees

Benefits

Remote Work Options
Company Equity
Mental Health Support

Risks

Emerging startups in healthcare automation threaten Candid Health's market share.
Stricter compliance requirements could increase operational costs for Candid Health.
Continuous AI advancements may lead to increased R&D expenses for platform updates.

Differentiation

Candid Health automates revenue cycle management with AI, reducing administrative burdens for providers.
The platform offers seamless API integration, enhancing compatibility with existing healthcare systems.
Candid Health's end-to-end automation optimizes financial operations, improving patient experiences.

Upsides

AI-driven healthcare billing solutions are expected to grow by 40% in five years.
Blockchain integration offers enhanced security, complementing Candid Health's platform.
Telehealth's rise increases demand for efficient billing solutions, benefiting Candid Health.

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