EDI Enrollment Specialist

Job Description

Job Title : EDI & Enrollments Specialist – Revenue Cycle Management

Location : Gilbert, Arizona

Position Type : Full-Time

Job Summary :

The EDI Enrollment Specialist plays a key role in assisting clients with the enrollment process for insurance payers and facilitating the submission of electronic claims and remittances. This position involves processing enrollment requests, addressing inquiries, resolving complaints, and updating databases. The role requires a strong focus on customer service, attention to detail, and the ability to troubleshoot and escalate technical issues as needed.

Key Responsibilities :

• Process enrollment requests for both commercial and government insurance plans for new and existing clients, acting as the intermediary between clients and the clearinghouse.
• Respond to client inquiries regarding enrollment status and related concerns.
• Update and maintain insurance records in the system as necessary.
• Adhere to departmental guidelines for case tracking and system updates.
• Handle customer and internal escalations, ensuring compliance with departmental protocols.

Qualifications :

Preferred Qualifications :