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EDI Enrollment Analyst

HHAeXchange

The Operations Command Center (OCC) is a centralized team focused on executing operational processes, supporting scalable workflows, and preventing issues through process ownership, problem management, and continuous improvement.

The EDI Enrollment Analyst manages electronic transaction enrollment activities that support payer, clearinghouse, and trading partner connectivity for HHAeXchange providers. This role coordinates enrollment for healthcare transactions such as claims submission (837), electronic remittance advice (835), and eligibility (270/271), while serving as the operational owner of assigned enrollment work.

The position works closely with Customer Success, Project Management, Revenue Cycle Operations, Customer Experience, and external trading partners to improve enrollment outcomes, reduce provider confusion, and create a more scalable enrollment experience. It is a hybrid role with an expectation to work from the Miami, FL office three days per week.

Requirements & Qualifications

Required Experience and Skills

  • 2-5 years of experience in healthcare operations, payer enrollment, revenue cycle support, provider onboarding, interoperability support, or related operational roles
  • Working knowledge of healthcare electronic transactions, including 837 claims, 835 remittance advice, eligibility transactions, and payer enrollment processes
  • Experience working with healthcare payers, clearinghouses, enrollment programs, or provider onboarding activities
  • Experience managing work through CRM or case management platforms such as Salesforce
  • Strong analytical and problem-solving skills with exceptional attention to detail
  • Excellent organizational skills with the ability to manage multiple enrollment activities simultaneously
  • Exceptional written and verbal communication skills with the ability to simplify complex information
  • Experience creating process documentation, job aids, knowledge articles, standard operating procedures, or instructional materials
  • Ability to build effective working relationships with internal stakeholders and external business partners
  • Proficiency with Microsoft Office applications, particularly Excel, Word, and PowerPoint
  • Ability to work independently and collaboratively in a fast-paced environment
  • Bachelor's degree in Business, Healthcare Administration, Information Systems, or a related field, or equivalent work experience, preferred
Benefits & Perks

Benefits

  • Benefits-eligible position
  • Competitive health plans
  • Paid time off
  • Company-paid holidays
  • 401(k) retirement program with company match
  • Other company-sponsored programs

Location

Miami, Florida, US

Employment Type

Full-time

Experience Level

Intermediate Level

Salary Range

$58,000 - $65,000

Remote work allowed

No

Posted

1 month ago

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