EDI Enrollment Specialist

Ensign Services • Dallas, TX

7h • Remote

About The Position

The EDI Enrollment Specialist manages and maintains Electronic Data Interchange (EDI 837), Electronic Remittance Advice (ERA 835), and Electronic Funds Transfer (EFT) enrollments. In this role, you will also develop and maintain documentation for enrollment processes across all Ensign Skilled Nursing Facilities and Assisted Living Facilities, supporting operations in multiple markets.

Requirements

• 3+ years of experience in a healthcare business office environment
• Strong ability to prioritize and organize tasks to meet established deadlines
• High level of attention to detail and accuracy
• Proficiency in Microsoft Word, Outlook, and Excel
• Working knowledge of applicable state regulations
• Excellent written and verbal communication skills
• Ability to collaborate effectively with a diverse group of individuals

Responsibilities

• Enroll new and existing clients in EDI and ERA programs (837, 835, DDE and EFT) to support claim submission, paperless insurance payments, and electronic fund transfers to facility operating accounts.
• Follow up to confirm EDI, ERA, and EFT setups are completed and document outcomes appropriately.
• Collaborate with the Accounts Receivable (AR) team to troubleshoot EDI, EFT, and ERA enrollment issues at the facility level.
• Partner with the EDI Lead and key stakeholders to map data, standardize processes, and expand the database of recognized insurance payers.
• Complete EDI, EFT, and ERA enrollment applications through claims systems or payer portals, as appropriate.
• Work with the AR team to ensure portal enrollments are completed when required.
• Monitor and follow up on EDI, EFT, and ERA enrollments and provide status updates to relevant stakeholders.
• Ensure carriers are properly set up for EFT and ERA processing.
• Identify enrollment issues and escalate as needed to ensure timely resolution.
• Collaborate with the EDI Lead to review, streamline, and improve workflows and processes.
• Work with internal and external stakeholders to resolve provider enrollment issues, including claim denials related to enrollment.
• Provide subject matter support and conduct training for AR staff as needed.
• Collect, organize, and maintain enrollment documentation as part of the onboarding process.
• Assist in managing information flow between facilities and payers.
• Perform other duties as assigned by the supervisor.

Benefits

• medical/dental/vision coverage
• company-provided life insurance
• 401(k) with company match
• sick/vacation plans
• supporting our employee’s professional growth and development through our Learning Management System
• training sessions and seminars

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees