EDI Enrollment Specialist

Ease Health•New York City, NY

19h

About The Position

The EDI Enrollment Specialist manages the enrollment process for Claims, ERA, and Eligibility transactions across the full enrollment lifecycle, working directly with clients, payers, and clearinghouses. The role provides clients with step-by-step guidance on forms and setup, serves as the primary contact for enrollment questions, monitors enrollment status and documentation, and follows up on pending or rejected enrollments. The specialist also tracks changing payer and clearinghouse requirements, communicates updates to stakeholders, and helps improve enrollment processes as the organization scales.

Requirements

Proven experience with Claims, ERA, and Eligibility enrollments through healthcare clearinghouses.
Familiarity with Availity.
Strong communication skills, including the ability to translate complex payer requirements into clear client guidance.
Exceptional organization while managing 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.

Nice To Haves

2+ years in healthcare revenue cycle, medical billing, or EDI enrollment preferred.

Responsibilities

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.
Follow up on 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 enrollment management processes as the organization scales.