EDI/EFT Enrollment Specialist
Job Overview
We are seeking a meticulous and dedicated Electronic Data Interchange/ EFT Enrollment Specialist to join our team. The successful candidate will be responsible for managing and optimizing the enrollment processes within Electronic Data Interchange clearinghouses.
Responsibilities
- Complete Registration: Ensure registration is received and completed thoroughly and in a timely manner.
- Generate and Monitor EDI Agreements: Follow up on agreements to meet specific implementation deadlines.
- Monitor Accounts: Investigate and resolve enrollment denials, errors, and correspondence with payers.
- Documentation: Maintain accurate documentation of the account throughout the enrollment process.
- Customer Service: Address customer requests in Service Plus for EDI clearinghouse issues, such as but not limited to, setting up new users, adding permission, adding workgroups.
- Maintain working knowledge of workflow, systems, and tools used in the department.
Qualifications
- In-depth Knowledge: Understanding of the EDI enrollment process.
- Communication Skills: Clear and effective verbal and written communication.
- Attention to Detail: Strong organizational skills and ability to meet deadlines.
- Analytical Skills: Excellent troubleshooting and analytical abilities.
- Self-Motivation: Ability to multitask and work independently as well as in a team setting.
- Proficiency in EDI software and clearinghouse platforms (e.g., Availity, Waystar etc.).
- Strong numerical aptitude and problem-solving abilities.
- Excellent communication and organizational skills.
- Proficiency in Microsoft Office Suite, especially Excel.
- Detail-oriented and meticulous.
- Ability to work independently and as part of a team.
- Strong commitment to maintaining confidentiality and integrity.
- Travel up to 25%
About Us
Notice of Use of Artificial Intelligence Tools in the Recruitment Process
At BrightSpring Health Services, our LEGACY culture guides how we lead, how we serve, and how we show up for one another. We are committed to doing the right thing—leading with integrity, accountability, and transparency in all that we do. As part of this commitment, we share that we may use third-party artificial intelligence (AI) to process employment data in connection with our hiring processes. Any AI tool that we use always has humans in the loop; we do not use AI to automate employment decisions or to discriminate, and we do not use zip codes as proxy. Humans – our hiring leaders and recruiter – make final decisions. BrightSpring Health Services provides reasonable accommodations to qualified applicants and employees with disabilities; if you would like to request a reasonable accommodation, please contact your recruiter or send an inquiry to TalentAcquisition@brightspringhealth.com. For more information about how our company uses AI in the hiring process, contact TalentAcquisition@brightspringhealth.com.
BrightSpring is an Equal Opportunity Employer.
BrightSpring Health Services and its affiliated companies provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
If you have a disability and are unable to use our online tools to search or apply for jobs, we would like to assist. Please contact us for accommodation assistance.
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information.
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