Summary
Ease Health is seeking an EDI Enrollment Specialist to manage Claims, ERA, and Eligibility transaction enrollments across healthcare clients, payers, and clearinghouses. The role guides clients through enrollment requirements, resolves issues, monitors statuses, and improves enrollment processes.
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
- Chase down 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 how we manage enrollments as we scale
Skills
- Proven experience with Claims, ERA, and Eligibility enrollments through healthcare clearinghouses
- Familiarity with Availity
- Strong communication skills for turning complex payer requirements into clear client guidance
- Exceptional organization across 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
- 2+ years in healthcare revenue cycle, medical billing, or EDI enrollment preferred
Qualifications
Must Haves
- Proven experience with Claims, ERA, and Eligibility enrollments through healthcare clearinghouses
- Familiarity with Availity
- Strong communication skills for turning complex payer requirements into clear client guidance
- Exceptional organization across 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