Electronic Data Interchange Enrollment Specialist

Guardant Health

Remote, US
Primary location base pyy range: $24 - $33; other ...
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Initiate and maintain us health plan edi
Configure edi 837, 276/277, 270/271, 835, eft
Investigate payer enrollment denials and errors
** Guardant Health is seeking an Electronic Data Interchange (EDI) Enrollment Specialist to manage the timely enrollment and maintenance of health plan electronic data exchanges. The ideal candidate should have 1-2 years of healthcare insurance billing experience, particularly with EDI systems, and possess strong analytical and communication skills. **

Job Summary

  • The Electronic Data Interchange (EDI) Enrollment Specialist will initiate, complete and maintain timely US health plan electronic exchange of information on behalf of Guardant Health with for Government and Commercial health carriers and external trading partners.
  • This role is pivotal in facilitating enrollment for new payers with the clearinghouse(s), but are not limited to, onboarding new payers, offboarding existing payers, implementing and maintaining existing systems, ensuring that data exchanges between different parties are accurate, reconciled and secured daily, as well as troubleshooting any enrollment issues that arise.
  • This role offers a challenging yet rewarding opportunity for a dynamic leader ready to drive sustainable improvements in a high-impact area of revenue cycle management.

Matching Summary

Match Score: 75

** Guardant Health is seeking an Electronic Data Interchange (EDI) Enrollment Specialist to manage the timely enrollment and maintenance of health plan electronic data exchanges. The ideal candidate should have 1-2 years of healthcare insurance billing experience, particularly with EDI systems, and possess strong analytical and communication skills. **

Salary

Primary Location Base Pay Range: $24 - $33; Other US Location(s) Base Pay Range: $23 - $31; Benefits: Not specified

Skills & Requirements

Must-have

  • Initiate and maintain US health plan EDI
  • Configure EDI 837, 276/277, 270/271, 835, EFT
  • Investigate payer enrollment denials and errors
  • Communicate with internal and external stakeholders
  • Adhere to HIPAA guidelines

Nice-to-have

  • Familiarity with Xifin and Telcor
  • Experience with US payer portals
  • Knowledge of industry-specific EDI documents
  • Analytical mindset for data analysis
  • Ability to work independently and in a team

Key Requirements

  • 1-2 years of Healthcare Insurance Billing
  • Previous EFT, ERA/835, EDI experience required
  • Proficiency with Microsoft Office Suite
  • Knowledge of electronic data concepts and systems
  • Experience contacting insurance carriers

Work Rights

Not specified

Tailored Resume

Cover Letter