EDI Enrollment Specialist at Ensign Services

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Jul, 26

Salary

75000.0

Posted On

23 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

EDI enrollment, ERA 835, EDI 837, EFT enrollment, Claims submission, Accounts receivable, Data mapping, Payer portals, Workflow optimization, Healthcare business office, Microsoft Word, Microsoft Outlook, Microsoft Excel, Communication skills, Attention to detail, Task prioritization

Industry

Hospitals and Health Care

Description

EDI Enrollment Specialist Position Type: Full Time Salary Range: $65,000 - $75,000 annually, DOE; may be eligible for bonus Location: This position offers 100% remote work. About the Company: Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees. ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously. We want an individual in this role who will demonstrate these values through actions and words. About the Opportunity The EDI Enrollment Specialist manages and maintains Electronic Data Interchange (EDI 837), Electronic Remittance Advice (ERA 835), and Electronic Funds Transfer (EFT) enrollments. In this role, you will also develop and maintain documentation for enrollment processes across all Ensign Skilled Nursing Facilities and Assisted Living Facilities, supporting operations in multiple markets. Specific Duties include, but are not limited to: * Enroll new and existing clients in EDI and ERA programs (837, 835, DDE and EFT) to support claim submission, paperless insurance payments, and electronic fund transfers to facility operating accounts. * Follow up to confirm EDI, ERA, and EFT setups are completed and document outcomes appropriately. * Collaborate with the Accounts Receivable (AR) team to troubleshoot EDI, EFT, and ERA enrollment issues at the facility level. * Partner with the EDI Lead and key stakeholders to map data, standardize processes, and expand the database of recognized insurance payers. * Complete EDI, EFT, and ERA enrollment applications through claims systems or payer portals, as appropriate. * Work with the AR team to ensure portal enrollments are completed when required. * Monitor and follow up on EDI, EFT, and ERA enrollments and provide status updates to relevant stakeholders. * Ensure carriers are properly set up for EFT and ERA processing. * Identify enrollment issues and escalate as needed to ensure timely resolution. * Collaborate with the EDI Lead to review, streamline, and improve workflows and processes. * Work with internal and external stakeholders to resolve provider enrollment issues, including claim denials related to enrollment. * Provide subject matter support and conduct training for AR staff as needed. * Collect, organize, and maintain enrollment documentation as part of the onboarding process. * Assist in managing information flow between facilities and payers. * Perform other duties as assigned by the supervisor. Position Requirements: * 3+ years of experience in a healthcare business office environment * Strong ability to prioritize and organize tasks to meet established deadlines * High level of attention to detail and accuracy * Proficiency in Microsoft Word, Outlook, and Excel * Working knowledge of applicable state regulations * Excellent written and verbal communication skills * Ability to collaborate effectively with a diverse group of individuals Additional Information: * Pre‑employment criminal background screening required. What We Offer We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com [http://www.ensignbenefits.com/] Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616. Job ID 1472

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Responsibilities

The EDI Enrollment Specialist manages and maintains Electronic Data Interchange, Electronic Remittance Advice, and Electronic Funds Transfer enrollments for healthcare facilities. They collaborate with the Accounts Receivable team to troubleshoot enrollment issues and streamline processes to ensure timely claim submissions.