EDI/EFT Enrollment Specialist

Our Company

BrightSpring Health Services

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 our Line of Business

BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.