EDI & Enrollments Specialist

Brightree is a wholly owned subsidiary of ResMed (NYSE: RMD, ASX: RMD).

When you work at Brightree, it’s more than just a job. You’ll be part of a team that’s driving innovation and leading the way in cloud-based patient management software. 

The technology allows us to provide the tools for better outcomes but at our heart, we’re really about people. We strive to positively impact our customers’ businesses and the lives of patients every single day.

The EDI & Enrollments Specialist will provide exceptional customer service and support to all clients in facilitating insurance payer enrollments for electronic claim submissions and electronic remittances purposes. Key deliverables include addressing customer inquiries related to enrollment completion and complaint resolution. Specialists also process product/service activations and escalate any technical issues the client may be experiencing to appropriate teams for timely resolution.

Let’s talk about Responsibilities

• Process incoming Enrollment requests for Commercial/Government insurance plans for new and existing clients serving as liaison between the client and the clearinghouse, Change Healthcare/Inovalon 
• Respond to customer requests surrounding enrollment questions
• Create, update insurances across the database as needed
• Follow departmental procedures for case tracking and system updates
• Process customer and internal escalations per department guidelines

Let’s talk about Qualifications and Experience

• Experience in Brightree Software System
• Knowledge of software products such as Word and Excel
• Demonstrated ability to follow documented processes and task workflows consistently
• Demonstrated ability to manage detailed tasks with accuracy and completeness
• Ability to multi-task and manage ongoing task priorities
• Demonstrated ability to complete analytical tasks with minimal supervision
• Ability to work independently and within a group
• Ability to successfully communicate with customers and partners using verbal and written communication methods
• Knowledge of electronic insurance setups and processes
• 3+ years’ experience in healthcare claims and customer service

We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.

Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills.

At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.  A reasonable estimate of the current base range for this position is: $16.48/hr - $24.72/hr

​For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills.

Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.

Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.