EDI Payer Enrollment Coordinator (Remote)
EDI Payer Enrollment Coordinator (Remote)
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1 Vacancy
Job Description
As the EDI Payer Enrollment Coordinator you will report to Experian Health. You will help manage the payer enrollment processes related to electronic data exchange between healthcare providers and payer organizations. Your primary responsibility will be to facilitate the seamless integration of healthcare providers into payer networks through EDI enrollment procedures. You will work with both internal and external teams to ensure compliance with industry standards and regulations.
Youll have the opportunity to:
- Coordinate and oversee the payer enrollment process ensuring timely and accurate submissions
- Collaborate with payer organizations to obtain and understand enrollment requirements
- Verify the accuracy and completeness of enrollment materials before submission to payers
- Conduct enrollment follow-up with payers and vendors regarding enrollment application statuses
- Communicate with clients payers vendors and internal staff to provide current enrollment statuses and answer outstanding questions
- Identify troubleshoot and resolve any enrollment issues
- Provide training and support to clients on EDI enrollment procedures
- Stay updated on payer enrollment changes and share knowledge with the team
Qualifications :
- 1 year of experience with the EDI Payer Enrollment processes
- Familiarity with X12 EDI standards
- An understanding of Healthcare Revenue Cycle Management
- 1 year of experience managing a high volume of cases simultaneously
- 1 year of experience strategic thinking and tactical planning with regard to the EDI Payer Enrollment process
- Associates Degree in Healthcare Business or related field experience
Additional Information :
Benefits/Perks:
- Great compensation package and bonus plan
- Core benefits including medical dental vision and matching 401K
- Flexible work environment ability to work remote hybrid or in-office
- Flexible time off including volunteer time off vacation sick and 12-paid holidays
- Explore all our exciting benefits here: uniqueness is that we celebrate yours. Experians culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI work/life balance development authenticity collaboration wellness reward & recognition volunteering... the list goes on. Experians people first approach is award-winning; Worlds Best Workplaces 2024 (Fortune Top 25) Great Place To Work in 24 countries and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.
Our compensation reflects the cost of labor across several U.S. geographic markets. The base pay range for this position is listed above. Within this range individual pay is determined by work location and additional factors such as job-related skills experience and education. You will be also eligible for a variable pay opportunity.
Experian is proud to be an Equal Opportunity Employer for all groups protected under applicable federal state and local law including protected veterans and individuals with disabilities. Innovation is an important part of Experians DNA and practices and our inclusive workforce allows everyone to succeed and bring their whole self to work. If you have a disability or special need that requires accommodation please let us know at the earliest opportunity.
#LI-Remote
This is a remote position.
Remote Work :
Yes
Employment Type :
Full-time
Employment Type
Remote
Company Industry
Key Skills
- SQL
- Information Technology
- data integrity
- Test Scripts
- AS2
- Access
- Excel
- ERP
- XML
- Troubleshoot
- Edifact
- Computer information system
- Sftp
- UNIX
