EDI Enrollment Analyst

The Operations Command Center (OCC) is a centralized team responsible for ensuring the seamless execution of operational processes, enabling scalable workflows, and proactively preventing operational issues through process ownership, problem management, and continuous improvement. As an Operations Analyst, EDI Enrollment, you will play a critical role in supporting electronic transaction enrollment activities that enable successful payer, clearinghouse, and trading partner connectivity for HHAeXchange providers.

This role is responsible for coordinating and executing enrollment activities for supported electronic healthcare transactions, including claims submission (837), electronic remittance advice (835), eligibility (270/271), and other approved transaction types. The Operations Analyst serves as the operational owner of the enrollment process, initiating enrollments when permitted, tracking progress, coordinating follow-up activities, and ensuring enrollment requirements are clearly documented and communicated.

The ideal candidate is highly organized, detail-oriented, and skilled at transforming complex payer and clearinghouse requirements into clear, actionable guidance. This individual will work closely with Customer Success Managers, Project Managers, Revenue Cycle Operations, Customer Experience, and external trading partners to improve enrollment outcomes, reduce provider confusion, and create a more scalable enrollment experience for customers.

This is a hybrid position, with an expectation to report to the Miami, FL office 3 days/week (typically Tues/Wed/Thurs). 

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Job Duties

• Manage electronic transaction enrollment activities for supported transaction types, including claims (837), remittance advice (835), eligibility (270/271), and future enrollment programs as applicable.
• Initiate, coordinate, track, and facilitate enrollment requests through payer, clearinghouse, and trading partner enrollment systems and portals.
• Serve as the operational owner of assigned enrollment activities, ensuring timely follow-up, issue resolution, status tracking, and completion of enrollment requirements within established timelines.
• Maintain accurate enrollment records, case documentation, status updates, and related artifacts within Salesforce and other designated systems.
• Establish and maintain effective working relationships with payers, clearinghouses, and other trading partners to support enrollment processing, status tracking, issue resolution, and escalation management.