EDI Enrollment Specialist

You will manage the enrollment process for Claims, ERA, and Eligibility transactions, working directly with clients, payers, and clearinghouses across the full enrollment lifecycle.

WHAT YOU'LL DO

• Manage Claims, ERA, and Eligibility enrollments from submission through approval
• Give clients step-by-step guidance on required forms and setup
• Serve as the primary contact for enrollment-related client questions
• Coordinate between clients, payers, and clearinghouses to resolve issues and delays
• Monitor enrollment statuses and keep documentation current across systems
• Chase down pending or rejected enrollments and escalate when needed
• Educate clients on payer requirements and timelines
• Track evolving payer and clearinghouse requirements
• Deliver proactive enrollment updates to stakeholders
• Improve how we manage enrollments as we scale

WHAT WE'RE LOOKING FOR

• Proven experience with Claims, ERA, and Eligibility enrollments through healthcare clearinghouses
• Familiarity with Availity
• Strong communication skills for turning complex payer requirements into clear client guidance
• Exceptional organization across many concurrent requests
• A proactive, problem-solving, ownership mentality
• Comfort collaborating across clients, payers, clearinghouses, and internal teams
• Meticulous attention to detail
• Adaptability as requirements change
• 2+ years in healthcare revenue cycle, medical billing, or EDI enrollment preferred