EDI/EFT Enrollment Specialist

BrightSpring Health Services • Lyndon, KY

2d • Remote

About The Position

BrightSpring Health Services is seeking a meticulous and dedicated Electronic Data Interchange/ EFT Enrollment Specialist to join their team. The successful candidate will be responsible for managing and optimizing the enrollment processes within Electronic Data Interchange clearinghouses. This role requires in-depth knowledge of the EDI enrollment process, strong communication and analytical skills, and proficiency in EDI software and Microsoft Office Suite. The specialist will also be responsible for customer service related to EDI clearinghouse issues and maintaining accurate documentation.

Requirements

• In-depth Knowledge: Understanding of the EDI enrollment process.
• Communication Skills: Clear and effective verbal and written communication.
• Attention to Detail: Strong organizational skills and ability to meet deadlines.
• Analytical Skills: Excellent troubleshooting and analytical abilities.
• Self-Motivation: Ability to multitask and work independently as well as in a team setting.
• Proficiency in EDI software and clearinghouse platforms (e.g., Availity, Waystar etc.).
• Strong numerical aptitude and problem-solving abilities.
• Excellent communication and organizational skills.
• Proficiency in Microsoft Office Suite, especially Excel.
• Detail-oriented and meticulous.
• Ability to work independently and as part of a team.
• Strong commitment to maintaining confidentiality and integrity.

Responsibilities

• Complete Registration: Ensure registration is received and completed thoroughly and in a timely manner.
• Generate and Monitor EDI Agreements: Follow up on agreements to meet specific implementation deadlines.
• Monitor Accounts: Investigate and resolve enrollment denials, errors, and correspondence with payers.
• Documentation: Maintain accurate documentation of the account throughout the enrollment process.
• Customer Service: Address customer requests in Service Plus for EDI clearinghouse issues, such as but not limited to, setting up new users, adding permission, adding workgroups.
• Maintain working knowledge of workflow, systems, and tools used in the department.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed