Date Posted: 08/30/2023
Hiring Organization: Rose International
Position Number: 449167
Job Title: ROPS Specialist I, Cash Applications
Job Location: Federal Way, WA, USA, 98001
Employment Type: Temporary
Estimated Duration (In Weeks): 12
Min Hourly Rate($): 17.25
Max Hourly Rate($): 20.25
Skills/Attributes: Claims, EDI, Health Insurance, Healthcare, MS Excel, MS Office, MS Word
Job Description
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Posted: 08/30/23
Job Title: EDI Enrolment Specialist
Company: Rose International
Location: Federal Way, WA
Start Date: 3 Months
Description:
Client is currently looking for a 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 Client, you will work with data clearing houses 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 is often conducted through online tools there are instances where phone and direct email is required.
Essential Functions:
Configure Electronic Remittance Advice (ERA/835) and Claim (837) transmissions through 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 set up.
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 procedure.
Other duties as assigned.
Skills:
2+ years of relevant work experience
Basic proficiency in utilizing and navigating clearinghouses and healthcare portals.
Ability to utilize a personal computer, multiple networks, and internet navigation.
Basic knowledge of Microsoft Office; specifically, Word, Excel, and Outlook
Basic knowledge of Adobe and PDF creation.
Ability to utilize available resources to learn new concepts and develop skills.
Ability to work within deadlines and time restraints.
Ability to work within a team setting and participate in accomplishing department goals.
Excellent interpersonal, written, and oral communication skills.
Demonstrated understanding and compliance with HIPAA privacy requirements.
Ability to plan, organize and prioritize work independently, with minimal Team or Manager feedback.
Ability to research and problem solve, using analytical and critical thinking skills.
Healthcare and medical billing/collections experience is preferred.
Intermediate computer proficiency in Microsoft Office including Word, Excel, and Outlook.
Demonstrated history of resolving challenging issues.
Education:
High school diploma or GED, required
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Any time I did have a question and called, the phone was always answered, and my question/concern was immediately resolved.
Sally, Consultant
Rose International maintained good communication during assignments and are very informative through email and phone calls.
Sade, Consultant
I believe the best thing that Rose HR has going for it is the incredible responsiveness. Everyone is very quick to reply to any concerns, and contacts the contracted employees very quickly and efficiently.
Kevin, Consultant
The interactions that I have had with your representatives have always been prompt and very professional. I am very pleased and impressed with your company and services.
Sioe, Consultant
Working for Rose International was the most pleasant assignment I have ever had. They were always on top of situations when necessary, and very helpful. I was very proud to be an employee of Rose International, and would recommend anyone to try to work with them.
Melvon, Consultant
EMPLOYEE COMMENTS