Edi Enrollment Specialist

Summary

Join Prompt, a rapidly growing healthcare software company, as an EDI Enrollment Specialist. This role is crucial for supporting client onboarding by ensuring successful completion of EDI enrollments. You will work closely with clients, manage enrollment processes, and maintain meticulous organization. The ideal candidate possesses strong communication, organizational, and analytical skills, along with experience in healthcare EDI/ERA enrollment. Prompt offers a remote work environment, competitive salaries, equity compensation, and various other benefits. This is an opportunity to make a significant impact in a dynamic and supportive team.

Requirements

• Working knowledge of X12 Manual (837P, 837I, 835, 276, 277)
• Experience performing Healthcare EDI/ERA enrollment process from start to finish for Part A and/or Part B facilities
• Experience as EDI Enrollment specialist and/or credentialing specialist, completing enrollment process from start to finish
• Clear and effective communicator with excellent verbal and written skills
• Demonstrated extreme attention to detail and organizational skills
• Ability to meet deadlines with a strong sense of urgency
• Excellent troubleshooting and analytical skills
• Self-motivated with the ability to multitask and work independently as well as in a team setting

Responsibilities

• Meet with clients to help determine all the payers they will need to be enrolled with
• Create EDI Master List that organize all enrollments Prompt will be responsible for and all of the enrollments (and their instructions) that the customer will need to perform
• Complete drafts of all EDI enrollments and seek approval from customer for submission
• Obtain signature from clients on all EDI enrollment forms
• File the enrollment forms payers and clearinghouse as needed
• Work with the client to fill out all the forms in which they are responsible to complete, submit and follow up with
• Ensure sure the client fills out all the forms
• Email/Call to follow up on all filings at recurring intervals
• Learn and leverage our helpdesk software in order to file and follow up on enrollments and communicate with customers
• During times where enrollments are complete, cross train with EDI analysts on how to be an effective contributor to the general help desk software conversation queue

Preferred Qualifications

• Prior startup and/or B2B SaaS technology organization experience
• Experience in any function of clinical development or medical billing operations (clinical operations, data management, biostatistics, system management, information management, medical monitoring, RCM follow up, claim review and submission, etc.)
• Experience with Zendesk or similar customer support software
• Experience with healthcare data/systems, ideally clinical/operational clinical trial data/systems
• Knowledge of e-clinical systems and technologies (e.g. EMR, RTM, HEP, CRM, HIEs, etc)

Benefits

• Competitive salaries
• Remote environment
• Potential equity compensation for outstanding performance
• 401k
• Health Insurance Benefits
• Generous PTO
• Company-wide sponsored lunches