EDI Payer Enrollment Coordinator

Employment Type: Full-time Location Type: Remote

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Position Overview

Experian Health is seeking an EDI Payer Enrollment Coordinator to manage the payer enrollment processes related to electronic data exchange between healthcare providers and payer organizations. The primary responsibility is to facilitate the seamless integration of healthcare providers into payer networks through EDI enrollment procedures. This role involves collaboration with internal and external teams to ensure compliance with industry standards and regulations.

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Responsibilities

• Coordinate and oversee the payer enrollment process, ensuring timely and accurate submissions.
• Collaborate with payer organizations to obtain and understand enrollment requirements.
• Verify the accuracy and completeness of enrollment materials before submission to payers.
• Conduct enrollment follow-up with payers and vendors regarding enrollment application statuses.
• Communicate with clients, payers, vendors, and internal staff to provide current enrollment statuses and answer outstanding questions.
• Identify, troubleshoot, and resolve any enrollment issues.
• Provide training and support to clients on EDI enrollment procedures.
• Stay updated on payer enrollment changes and share knowledge with the team.

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Requirements

• 1+ year of experience with EDI Payer Enrollment processes.
• Familiarity with X12 EDI standards.
• An understanding of Healthcare Revenue Cycle Management.
• 1+ year of experience managing a high volume of cases simultaneously.
• 1+ year of experience in strategic thinking and tactical planning with regard to the EDI Payer Enrollment process.
• Associate's Degree in Healthcare, Business, or a related field.

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Company Description

Experian is a global data and technology company dedicated to powering opportunities for people and businesses worldwide. We leverage our unique combination of data, analytics, and software to redefine lending practices, combat fraud, simplify healthcare, create digital marketing solutions, and provide deeper insights into the automotive market. We also assist millions in achieving their financial goals, saving them time and money.

Experian operates across diverse markets, including financial services, healthcare, automotive, agrifinance, and insurance. We are committed to investing in our people and advanced technologies to unlock the power of data and drive innovation. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we employ 23,300 people across 32 countries, with our corporate headquarters in Dublin, Ireland. Learn more at experianplc.com.

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Additional Information

Benefits & Perks

• Great compensation package and bonus plan.
• Core benefits including medical, dental, vision, and matching 401K.
• Flexible work environment (remote, hybrid, or in-office options).
• Flexible time off, including volunteer time off, vacation, sick days, and 12 paid holidays.
• Explore all benefits: https://yourexperianbenefits.com/cand-index.html

Experian Culture

Experian celebrates individuality and fosters a culture that prioritizes its people. We focus on key areas such as Diversity, Equity, and Inclusion (DEI), work/life balance, professional development, authenticity, collaboration, wellness, and reward & recognition. Our "people first" approach has earned us numerous accolades, including World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ in 24 countries, and Glassdoor Best Places to Work 2024. Discover more about Experian Life on social media or our Careers Site.

Compensation

Compensation for this position reflects the cost of labor across various U.S. geographic markets. The base pay range is provided separately. Individual pay is determined by work location, job-related skills, experience, and education. This role is also eligible for a variable pay opportunity.

Experian is an Equal Opportunity Employer.