EDI Enrollment Specialist

Overview

Description
:

Schedule:

Monday - Friday Day Shift. This Work from Home position requires that you live within 60 miles of an HCA Healthcare Hospital. Our hospitals are located in the following states: FL, GA, , KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA.

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an EDI Enrollment Specialist with Parallon you can be a part of an organization that is devoted to giving back!

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free Air Med medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Note:

Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic EDI Enrollment Specialist to help us reach our goals. Unlock your potential!

Job Summary And Qualifications

Seeking an Electronic Data Interchange (EDI) Enrollment Specialist, who is responsible for applying a fundamental knowledge of healthcare billing practices and procedures related to enrolling providers electronically for claims submission, remittance, and funds transfer. In addition, this team member is responsible for identifying, creating, monitoring, and releasing claim hold rules. This job has regular contact with internal and external customers and requires regular outreach to payers.

We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!

• Prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse
• Prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers
• Initiate telephone calls to payers with respect to provider enrollment and claim errors, utilizing proper customer service protocol
• Review correspondence received and perform appropriate action to resolve
• Manage billing hold rules including identifying, creating, monitoring, and releasing
• Configure providers in billing system
• Work as a liaison between Provider Enrollment department and other operational departments;
  Participate in process to establish payer-specific billing edits
• Meet and maintain established departmental performance metrics for production and quality;
  Maintain working knowledge of workflow, systems, and tools used in the department