EDI Enrollment Specialist
Ease Health, Inc.
You will manage the enrollment process for Claims, ERA, and Eligibility transactions, working directly with clients, payers, and clearinghouses across the full enrollment lifecycle. What you’ll do 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 escalated 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 What we’re looking for 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 #J-18808-Ljbffr Ease Health, Inc.
- Ease Health, Inc. is seeking a detail‑driven enrollment specialist to manage Claims, ERA, and Eligibility enrollments across the full lifecycle. You will work directly with clients, payers, and clearinghouses to move submissions from initiation through approval. You’ll...EDI
$82.77k - $135.98k
...customers? Guardian is seeking an HCM Platform Specialist to serve as a subject matter expert... ..., eligibility rules, life events, and enrollment processesExperience supporting carrier integrations... ...supporting API, EDI, and file-based integration modelsExperience...EDIFull timeH1bVisa sponsorshipWork visaFlexible hours$20 - $30.5 per hour
...while helping to clarify key decision-points and solution alternatives which align with the needs of the individual. Associate Enrollment Specialists utilize consultative relationship building skills focused on a supportive and empathetic approach, a mastery of highly...SuggestedHourly payWork experience placementWork at officeRemote work- ...settings where needed Provide technical reviews for AX enhancements and customizations Provide review of needed interfaces to AX via EDI and other methods Nice if they have MPOS experience Need to be able to troubleshoot integration issues between the POS and the back...EDIPart time2 days per week3 days per week
- A leading recognition solutions company is seeking a Drop-ship and Purchasing Specialist in New York. The role involves managing the creation of drop-ship purchase orders, processing EDI transactions, and liaising with vendors for order status. The ideal candidate will...EDIFull time
- Extelligence SRO is looking for a knowledgeable EDI specialist to join our team in New Jersey. The ideal candidate will manage EDI requirements, ensure the seamless execution of data transactions, and work closely with vendors and trading partners. You'll benefit from...EDI
- DescriptionThe Provider Enrollment Analyst (I) is responsible for coordinating the provider enrollment and payer credentialing efforts for... ...initial setup of new groups and providers for 837P and 835P EDI transactions as well as EFT.Monitors TES edits, BAR edits, eCommerce...EDIHourly payTraineeshipLocal area
$132k - $135k
...in JD Edwards programs. Responsibilities include software design and development, implementing program features, and troubleshooting EDI processes. Candidates must have a Bachelor’s Degree in a relevant field and at least 2 years of experience. The position is based in...EDIRemote job- Apply for the Drop-ship and Purchasing Specialist role at HALO - Recognition & Incentives . SUMMARY The Drop-ship and Purchasing Specialist... ...daily Ship Direct purchase order (PO) creation, process EDI transactions, and liaise with the Resource Contact Center regarding...EDIFull time
$55.6k - $92.6k
...path with us. Position Description The Membership Operations Specialist is an entry-level individual contributor supporting high-volume... ...in task execution Begins building functional knowledge of GPO, enrollment, and manufacturer workflows Key Responsibilities Perform case...Full timeContract workWork experience placementH1bWork at officeRemote work2 days per week- ...potential extension. You will design and migrate integrations, develop interfaces, and work across SAP BTP components in an international setting. The role requires 3-5 years in SAP integration, solid ABAP foundations, EDI experience, and good English. #J-18808-Ljbffr OptiveumEDIRemote jobContract work
- ...Enrollment Specialist International University of Casablanca Irving, Texas, United States Full-time, Entry Level Remote: Yes Job Description Responsible for all areas of enrollment including but not limited to oral and written communication with clients and brokers, data...Full timeRemote workFlexible hoursShift work
- ...We match patients with registered dietitians and help them get scheduled quickly and compassionately. We’re hiring a Patient Enrollment Specialist who is warm, organized, and proactive with follow-ups. This role has a direct impact on helping patients access care during...Weekend workDay shiftAfternoon shift
- ...Reports to: Building Principal The Enrollment Specialist is charged with recruiting, selecting, and enrolling eligible families within their center-based location. The enrollment specialist also creates, provides, and coordinates services and activities with families...Work at officeLocal area
$20 per hour
...Colorado, Idaho, Nevada, or Utah) Duration: Approximately 4-month contract with potential for extension Schedule: Full-time during Open Enrollment season About the Opportunity We are seeking Customer Service Representatives to support increased call volume during the annual...Full timeContract workTemporary workWork at officeRemote work- University of British Columbia is seeking an EDI Liaison to oversee equity, diversity, and inclusion matters aligned with the NFRF-T grant. This part-time role requires collaboration with the EDI committee and students, and involves developing policies, delivering speeches...EDIRemote jobPart time
- RESPONSIBILITIES: Kforce has a client looking for an Integration Specialist in the New York, NY tristate area. Essential Duties: *... ...in the application of modern integration technologies (EDI, Web Services, XML, XLST, Java, .NET, middleware) * Workday Extend...EDIHourly payContract work
$55k - $65k
...and personal reward—and we’re just getting started. Opportunity Overview We have an immediate opening for a Senior Payer Enrollment Specialist to join our remote team at US Fertility . Schedule: Monday through Friday, from 7:30 AM to 4:30 PM Eastern Time Compensation...Full timeContract workPart timeWork at officeImmediate startRemote workMonday to Friday- Stride is seeking an Enrollment Operations Specialist to join the team remotely in the United States during Open Enrollment. The role focuses on processing enrollment activity with high accuracy and handling sensitive consumer information. Candidates with ACA enrollment...Remote jobSeasonal workMonday to Friday
- ...seeking a remote, US-based contractor to educate prospective patients on our pulmonary rehabilitation program and guide them through enrollment. You will handle outbound calls, respond to inquiries, assess eligibility, and coordinate scheduling with the care team. The role...Remote jobFor contractors
$55k - $65k
...working together to make high-quality care more accessible for families nationwide. About the Role Your North Star: Manage payer enrollments, and payer re-enrollments across clinician types for our existing and new markets. Reporting to the Payer Enrollments Manager, in...Remote workFlexible hours- ...Job Description Intake and Enrollment Specialist (Bilingual Spanish/English) Anchor Health Home Care is hiring a Bilingual Intake and Enrollment Specialist to join our team and assist families seeking pediatric home care services. In this role, you will guide...Work at office
- ...Program as well as New York City residents who are living at or below the federal poverty line. Working under direction of the Enrollment Specialist Supervisor for Fair Fares, the Enrollment Specialist will be responsible for the enrollment of consumers at walk-in...Work at officeLocal areaMonday to FridayShift work
$36.43k - $66.79k
CareFirst BlueCross BlueShield seeks a Technician, Enrollment II to ensure accurate enrollment into member systems, timely processing, and coordination with client contacts, Sales, Underwriting, Finance, IT, and other BluePlan teams. Requires high school or GED and 3 years...- ...You are trained, coached, and measured on activity and results. You will take conversations, explain options simply, help clients enroll when it fits, and maintain a clean follow-up rhythm. Interviews are on Zoom, and the role offers remote work with a clear process and...Remote job
- ...seeking a Patient Engagement Associate to conduct telephonic outreach to families. This role involves guiding caregivers through the enrollment process with the app, addressing any concerns, and meeting engagement targets. Candidates should have a high school diploma and...Remote jobHourly pay
- ...personal client list over time. Speak with interested individuals, map needs to available solutions, and complete a straightforward enrollment. A performance-driven culture rewards initiative and coachable contributors. #J-18808-Ljbffr Global Elite Empire ConsultantsRemote job
- EmblemHealth is seeking a field-based Enrollment Specialist to present, enroll, and maintain patient enrollments for Medicaid and related plans across the New York area. The role requires home visits, documentation gathering, and cultivation of community relationships....Weekend workAfternoon shift
$21 - $24 per hour
...Florida. Seeking individuals who reside in a commutable distance to Tampa Bay or Jacksonville, Florida. Job Summary: The Enrollment Specialist serves as the primary point of contact for participants, authorized representatives, and providers throughout the enrollment...Contract workWork at officeLocal areaRemote work- ...role, you will develop and utilize in-depth knowledge of Renalogic programs to effectively support member outreach, engagement and enrollment. How You’ll Contribute Make calls and outreaches and describe the benefits of our program. Engage with and enroll eligible...Temporary workWork experience placementRemote workFlexible hoursNight shiftWeekend workAfternoon shift
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