EDI Enrollment Analyst
Core
Manage electronic transaction enrollment activities for healthcare payers, clearinghouses, and trading partners, ensuring timely processing of claims, remittance, and eligibility transactions.
Role type
Senior operational analyst (payer enrollment & revenue cycle)
Builds
Operational workflows for provider onboarding and transaction lifecycle management
Domain
Healthcare operations / Revenue cycle management / Payer interoperability
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Payer enrollment processes, 837/835/270/271 transaction standards, CRM case management, process documentation, stakeholder liaison, data analysis, workflow optimization
Preferred skills
Healthcare administration background, knowledge of clearinghouse systems, experience with provider onboarding
Technologies
Salesforce, Microsoft Office (Excel, Word, PowerPoint), clearinghouse portals
Responsibilities
Initiate and track enrollment requests through payer and clearinghouse systems; maintain accurate enrollment records and case documentation; research and interpret payer enrollment policies; develop provider-facing enrollment guides and instructional materials; identify enrollment bottlenecks and recommend process improvements; partner with Customer Success and Revenue Cycle teams to ensure clear communication of requirements.
Seniority
Mid-level, hands-on IC
