Enrollment Specialist

Full Time
Federal Way, WA
$20.25 an hour
Posted
Job description

Position: EDI Enrollment Specialist, Req#: 21199494
Location: Federal Way, WA (We will need these workers to train in our Federal Way, WA CBO due to the confidential information they will be privy to. We anticipate this to take about 1 month. Remote possible after.)
Duration: 6+ Months Contract

Pay Rate: $20.25/hr.

Job Description:

The client is currently looking for an EDI Enrollment Specialist. The Electronic Data Interchange (EDI) Enrollment Specialist is responsible for enrolling Healthcare Insurance providers electronically for claims, remittance, and electronic funds transfer Individuals who excel in this role are highly ambitious, results driven, and comfortable thinking "outside the box". The goal of this position is to maximize enrollment efforts to achieve collection and payment processing performance goals. In this role, you will develop and maintain relationships with insurance companies. Acting on behalf of the client, you will work with data clearinghouses and insurance payers, researching and resolving problems as needed.

Individuals in this role work with insurance payers to research and resolve enrollment opportunities and partner with various Revenue Operations teams to achieve department goals. While research and resolution are often conducted through online tools there are instances where phone and direct email are required.

Essential Functions:

  • Configure Electronic Remittance Advice (ERA/835) and Claim (837) transmissions through a clearinghouse or other source as appropriate.
  • Configure Electronic Funds Transfer (EFT/ACH) with payers.
  • Initiate telephone calls to payers with respect to provider ERA/EFT/Claims setup.
  • Manage existing ERA/EFT connections; troubleshoot and resolve issues with all EDI functions related to ACH/835 transactions.

Additional Functions:

  • Participate in team meetings.
  • Maintain team documentation and payer-specific instructions.
  • Collaborate with other teams/departments.
  • Follow standardized processes and procedures.
  • Other duties as assigned.

Education and Experience:

  • High School diploma or equivalent required

Job Type: Contract

Salary: $20.25 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Federal Way, WA: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • We will need these workers to train in our Federal Way, WA CBO due to the confidential information they will be privy to. We anticipate this to take about 1 month. Remote possible after. Please confirm if you are fine to go onsite. Thanks

Education:

  • High school or equivalent (Required)

Experience:

  • Medical billing: 1 year (Preferred)
  • Healthcare insurance: 1 year (Preferred)

Work Location: One location

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