EDI Payer Enrollment Coordinator, Health - Remote

Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realise their financial goals and help them save time and money.

We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more industry segments.

We invest in people and new advanced technologies to unlock the power of data. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 22,500 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com

Reporting to the Director of EDI Enrollment, the EDI Payer Enrollment Coordinator will help manage the payer enrollment processes related to electronic data exchange between healthcare providers and payer organizations. Your primary responsibility will be to facilitate the seamless integration of healthcare providers into payer networks through EDI enrollment procedures. You will work with both internal and external teams to ensure compliance with industry standards and regulations.

1. You will coordinate and oversee the payer enrollment process, ensuring timely and accurate submissions
2. You will collaborate with payer organizations to obtain and understand enrollment requirements
3. You will verify the accuracy and completeness of enrollment materials before submission to payers
4. You will conduct enrollment follow-up with payers and/or vendors regarding enrollment application statuses
5. You will communicate with clients, payers, vendors, and internal staff to provide current enrollment statuses and answer outstanding questions
6. You will identify, troubleshoot and resolve any enrollment issues
7. You will provide training and support to clients on EDI enrollment procedures
8. You will stay updated on payer enrollment changes and share knowledge with the team

Qualifications:

1. 1+ years of experience with the EDI Payer Enrollment processes
2. Familiarity with X12 EDI standards
3. An understanding of Healthcare Revenue Cycle Management
4. The ability to manage a high volume of cases simultaneously
5. Possess strategic thinking and tactical planning
6. Advanced proficiency in Microsoft Office
7. Associates Degree in Healthcare, Business, or related field experience

Benefits/Perks:

1. This role is remote from within the US
2. Great compensation package and bonus plan
3. Core benefits including medical, dental, vision, and matching 401K
4. Flexible work environment, ability to work remote, hybrid or in-office
5. Flexible time off including volunteer time off, vacation, sick and 12-paid holidays

Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian's people first approach is award-winning; World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ in 24 countries, and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.

Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experian's DNA and practices, and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work, irrespective of their gender, ethnicity, religion, colour, sexuality, physical ability or age. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.