EDI Enrollment Specialist – Medical Billing
RethinkFirst
full-time
Posted on:
Location Type: Remote
Location: Alabama • Arizona • United States
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About the role
- Responsible for electronic data interchange (EDI) processes related to Behavioral Health/Medical billing enrollment ensuring the accuracy of data during the submission process
- Prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals
- Prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers
- Review all payments being received to identify all payers that EDI, ERA and EFT can be processed through our clearinghouse
- Communicate with our clearinghouse on any enrollment issues
- Review provider enrollment denials and errors with payers to resolve denial issue in a timely manner
- Partner with the Billing Implementation team and Director, RCM Operations to enroll new payers/providers to resolve enrollment tasks
- Maintain accurate enrollment records and provide updates to Management and Clients as needed
- Document and maintain process workflows, systems configuration, and tools used in the department
- Adhere to and follow all HIPAA guidelines
- Assigned special projects as needed
Requirements
- At least 2 years of experience in revenue cycle management (for medical billing or behavioral health billing)
- Experience with EDI enrollment including the enrollment of payers with clearing houses such as Availity, Waystar and Stedi
- Familiar with EDI file formats (such as 834 transactions)
- Experience with EDI software and systems are essential
- Experience with CredentialStream is a plus
- Self-starter comfortable working with Clients and Vendors to resolve issues in a timely manner
- Excellent oral and written communication skills
- Effective at multitasking and can demonstrate the ability to work with multiple clients at the same time
Benefits
- PTO and Vacation Days after a 90-day introductory period
- Paid Holidays
- Generous Health, Dental & Vision benefits package
- 401k + Matching
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
electronic data interchange (EDI)medical billingbehavioral health billingElectronic Remittance Advice (ERA)Electronic Funds Transfer (EFT)EDI file formatsCredentialStreamrevenue cycle managementdata accuracyprocess workflows
Soft skills
communication skillsmultitaskingproblem-solvingself-starterclient managementvendor managementtimely issue resolutionorganizational skillsattention to detailcollaboration