EDI Enrollment Analyst (US Healthcare)

Overview

PracticeSuite, Inc. is an innovative platform to enable medical practices and other healthcare facilities to create an amazing patient experience. As a single platform, PracticeSuite has diverse features to modernize practices and take them to the next level.

The EDI Enrollment Analyst plays a critical role in facilitating electronic data interchange (EDI) processes between healthcare providers, clearinghouses, and insurance payers. This position is responsible for managing and processing electronic service enrollment requests, troubleshooting issues related to claim rejections and remittances, and providing timely support to both customers and internal teams. The analyst acts as a key liaison, ensuring smooth communication and resolution of EDI-related concerns, while maintaining a strong focus on customer satisfaction, accuracy, and compliance with payer requirements.

Role & Responsibilities

The EDI Enrollment Analyst will perform the following tasks while meeting customer satisfaction and quality goals.

Specific responsibilities will include:

• Process enrollment requests for electronic services with clearinghouse and payers.
• Answer incoming enrollment emails and phone calls to resolve customer issues.
• Assist customers with payer agreements and online enrollments.
• Troubleshooting enrollment rejections with insurance payers and clearinghouse.
• Researching missing remittances and enrollment related claim rejections.
• Provide internal support to the Onboarding, Implementation, Sales or Support team on all enrollment related calls/issues.
• Follow-up with customers, clearinghouses, and insurance payers on enrollment status.

Requirements

The successful candidate for EDI Enrollment Analyst should be professional, polite, knowledgeable and a team player. The candidate will enjoy and take pride in delivering exceptional service to customers and colleagues.

Key attributes of the successful candidate will include:

• Excellent writing and oral communication skills, particularly with customers.
• Proven history of providing excellent customer service.
• Problem solving and critical thinking skills.
• Highly organized and detail oriented.
• Vibrant and friendly phone presence with customers.
• Positive attitude and hardworking.
• Working knowledge of Microsoft Windows, Office, and Internet.

Experience:

Location:

Shift:

Who We Are

PracticeSuite is a national, fast-growing cloud computing software company based in Tampa, FL that provides a cloud-based 360°Office Platform to healthcare facilities. PracticeSuite has an agile management team, high employee morale, and high customer satisfaction and retention. PracticeSuite is growing rapidly and is being recognized as one of the 5 top cloud-based systems within healthcare.

Please visit our website to learn more about us, at www.practicesuite.com

PracticeSuite, Inc is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability or veteran status. PracticeSuite, Inc also complies with all applicable national, state and local laws governing nondiscrimination in employment.