EDI Enrollment Specialist
Location: Louisville, KY
Job Type: Contract
Company: IDR
Category: Administrative / Clerical
Job Description Apply Now
The EDI Enrollment Specialist is a key member of the healthcare services team, responsible for overseeing and optimizing the enrollment processes within Electronic Data Interchange (EDI) clearinghouses. This role ensures the accurate and timely setup of claims and remittance processes, directly contributing to the efficiency and reliability of healthcare payment and claims management. The EDI Enrollment Specialist is also tasked with delivering outstanding customer service and support, addressing issues related to enrollments, and maintaining clear communication with payers and internal stakeholders.
Working as an EDI Enrollment Specialist offers an opportunity to grow within a dynamic healthcare organization that values operational excellence and innovation in claim processing and payments. The ideal candidate for this position brings a detail-oriented approach, expertise in EDI and ERA (Electronic Remittance Advice) processes, and a strong commitment to customer satisfaction. If you are passionate about streamlining healthcare transactions and thrive in a collaborative, fast-paced environment, you are encouraged to apply and become an integral part of a leading healthcare team.
EDI Enrollment Specialist - SummaryThe EDI Enrollment Specialist is responsible for managing the end-to-end EDI enrollment workflow, ensuring claims and remittance processes run smoothly through clearinghouses such as Waystar and similar systems. This position demands strong organizational skills and a solid understanding of EDI agreements, payer requirements, and healthcare transaction protocols. As an EDI Enrollment Specialist, you will play a critical role in maintaining high data accuracy, meeting regulatory compliance standards, and supporting healthcare providers in resolving enrollment issues efficiently.
Duties & Responsibilities- Manage and optimize the enrollment process within EDI clearinghouses, including platforms like Waystar and Availity.
- Complete registration procedures, ensuring all claims and remittance enrollments are accurate and submitted on time.
- Generate, monitor, and follow up on EDI agreements and related accounts with various payers.
- Troubleshoot and resolve enrollment denials, errors, and other correspondence with payers to minimize processing delays.
- Maintain detailed documentation and respond promptly to customer and internal requests related to EDI issues.
- Set up and monitor work groups within EDI platforms, ensuring seamless transaction workflows.
- Collaborate with internal teams and external partners to address process improvements and resolve technical challenges.
- Adhere to organizational policies and compliance standards throughout all EDI-related activities.
- Competitive compensation package based on experience and industry benchmarks.
- Comprehensive benefits, including medical, dental, and vision insurance.
- Access to an Employee Stock Ownership Program, providing long-term financial benefits.
- Dedicated support from an Engagement Manager focused on your professional growth and success.
- Additional perks such as life insurance and opportunities for advancement within an industry-leading organization.
- Recognition as part of an award-winning team, with multiple industry accolades for service excellence.
- Demonstrated experience in remit and claims enrollment, with a preference for familiarity with Waystar or equivalent EDI clearinghouse platforms.
- Strong knowledge of EDI, ERA, and EFT enrollment procedures within healthcare environments.
- Experience handling rejected and denied claims in Waystar, Availity, or similar systems.
- Ability to set up, monitor, and administer work groups and user permissions within EDI platforms.
- Exceptional attention to detail, ensuring all enrollments are accurate and compliant with payer requirements.
- Excellent organizational skills and ability to meet deadlines in a fast-paced environment.
- Strong communication skills for managing internal and external customer relationships.
- Proactive, resourceful, and committed to driving operational excellence in healthcare technology.
- Possesses a customer-first mindset, ensuring inquiries and issues are resolved efficiently.
- Thrives in a collaborative setting, contributing to process improvements with a team-oriented approach.
- Adaptable and quick to learn new EDI systems or updates in regulatory requirements.
- Joining this organization means becoming part of a company with over 25 years of industry experience and a strong reputation for employee satisfaction.
- The team is committed to supporting professional development and fostering a supportive workplace culture.
- Employees are recognized and rewarded for their contributions through various programs and industry awards.
- Working in Louisville, Kentucky, offers access to a vibrant healthcare community and a diverse professional network.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. IDR is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite employees to voluntarily self-identify their race or ethnicity, gender, and veteran status (if applicable). Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. You may access this form here.
If you are ready to take the next step in your healthcare technology career, click the application button to apply for the EDI Enrollment Specialist position today and join a team dedicated to advancing healthcare solutions.