EDI Enrollment Specialist; Medical Billing

Why consider this job opportunity

• Opportunity for career advancement and growth within a rapidly expanding company
• Generous benefits package including health, dental, and vision insurance
• Paid time off (PTO) and vacation days after a 90-day introductory period
• 401k with matching contributions
• Remote work opportunities available in various states
• Collaborative and mission-driven work environment impacting individuals with developmental disabilities

• Manage electronic data interchange (EDI) processes related to behavioral health and medical billing enrollment
• Prepare and submit applications for EDI claims and Electronic Remittance Advice (ERA) through clearinghouse and payer portals
• Communicate with clearinghouses regarding enrollment issues and troubleshoot as needed
• Review and resolve provider enrollment denials and errors with payers
• Maintain accurate enrollment records and document process workflows

• Minimum of 2 years of experience in revenue cycle management for medical or behavioral health billing
• Experience with EDI enrollment and familiarity with clearinghouses such as Availity, Waystar, and Stedi
• Knowledge of EDI file formats and experience with EDI software and systems
• Excellent oral and written communication skills
• Ability to multitask and work effectively with multiple clients simultaneously

• Experience with Credential Stream
• A self-starter attitude with the ability to resolve issues promptly
• Demonstrated ability to communicate with individuals at all organizational levels

#Behavioral Health #Revenue Cycle Management  #Remote Work #Career Opportunity #Inclusive Workplace

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