EDI Enrollment Specialist
EDI Enrollment Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
About Us
Ventra is a leading business solutions provider for facilitybased physicians practicing anesthesia emergency medicine hospital medicine pathology and radiology. Focused on Revenue Cycle Management Ventra partners with private practices hospitals health systems and ambulatory surgery centers to deliver transparent and datadriven solutions that solve the most complex revenue and reimbursement issues enabling clinicians to focus on providing outstanding care to their patients and communities.
Job Summary
- The EDI Enrollment Specialist is responsible for the setup verification and maintenance of provider and facility enrollments in clearinghouses (e.g. Athena PhiCure) for electronic claims (EDI) remittance advice (ERA) and electronic fund transfers (EFT). This role ensures accurate enrollment tracking monitors pending approvals and signatures and resolves enrollmentrelated escalations such as missing ERA remits or rejected EDI claims.
Essential Functions and Tasks
- Set up new facility and provider enrollments in clearinghouses (Athena PhiCure).
- Process new EDI enrollments to enable claims submission.
- Enroll providers in ERA to replace paper EOBs with electronic remittance advices.
- Enroll providers in EFT for direct deposit payments.
- Verify successful enrollment for claims ERAs and EFTs.
- Track research and confirm file transmissions to clearinghouses and payers.
- Troubleshoot failed transmissions and claim edit issues.
- Manage pending payor approvals and signatures.
- Address issues such as unexpected paper checks incorrect payments or EDI rejections.
- Collaborate with internal teams on escalations.
- Perform special projects and other duties as assigned.
Education and Experience Requirements
- High School Diploma or GED required.
- Experience in healthcare access administration medical billing operations or healthcare IT support.
Knowledge Skills and Abilities
- Strong knowledge of EDI/ERA/EFT enrollment processes clearinghouse systems (Athena PhiCure) and electronic remittance workflows.
- Strong oral written and interpersonal communication skills.
- Strong problemsolving skills.
- Strong independent and critical decisionmaking skills.
- Strong organizational skills.
- Strong time management skills.
- Strong word processing spreadsheet database and presentation software skills.
- Strong detail orientation skills.
- Ability to communicate technical information to technical and nontechnical personnel at various levels in and across the organization.
- Ability to work well under pressure with good communication skills.
- Ability to take initiative and effectively troubleshoot while focusing on innovative solutions.
- Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately.
- Ability to remain flexible and work within a collaborative and fastpaced environment.
Ventra Health
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates and all qualified applicants will receive consideration for employment without regard to race color ethnicity religion sex age national origin disability sexual orientation gender identity and expression or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities as needed to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global scammers may attempt to conduct fake interviews solicit personal information and in some cases have sent fraudulent offer letters.
To protect yourself verify any communication you receive by contacting us directly through our official channels. If you have any doubts please contact us at to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at Experience:
Unclear Seniority
Employment Type
Unclear
Key Skills
Similar Jobs
Dr. Job is an online platform that connects employers with skilled job seekers, facilitating the search for job opportunities and top talent. Established in 2015. Dr. Job Pro has emerged as the world premier job portal, attracting thousands of job seekers every day from all over the world.
Follow Dr.Job
Dr Job FZ LLC. 2025 © All Rights Reserved