The role involves contacting payers to check medical claims status, following up on denials or partial payments, and filing claims with necessary documentation. Responsibilities also include processing correspondence, updating Accounts Receivable, facilitating communication on error trends, and initiating appeals for disputed claims.
Candid Health
5 Remote Job Openings at Candid Health
This role involves preparing and submitting applications for Electronic Data Interchange (EDI) claims, Electronic Remittance Advice (ERA), and Electronic Funds Transfer (EFT) through various payer portals. The specialist will also investigate enrollment denials and errors, act as a liaison between departments, and maintain accurate enrollment records.
The role involves driving new logo sales across ambulatory practices and health systems nationwide, managing several hundred accounts, and qualifying/closing complex, multi-stakeholder enterprise deals up to seven figures. Responsibilities also include navigating complex provider organizations, building C-level relationships, and leading coordinated deal strategy with Solutions Consultants.
This role involves partnering directly with the Sales team to close large enterprise prospects by mapping business objectives and revenue cycle challenges to the company's capabilities, and crafting engaging demonstrations and value analyses. Additionally, the consultant will help build foundational infrastructure, tools, and knowledge to enable the entire Sales team effectively.
Lead day-to-day sales operations including quota management and forecasting while building annual operating plans and driving change management across GTM functions. Provide proactive reporting and insights to the executive team to guide strategic decisions.