EDI Enrollment Specialist (B2B SaaS)

Posted 17 Days Ago
Be an Early Applicant
Hiring Remotely in USA
Remote
Mid level
Software
The Role
The EDI Enrollment Specialist will assist clients during the enrollment process, ensuring all necessary forms are completed, submitted, and followed up on to facilitate onboarding to the EMR system.
Summary Generated by Built In

EDI Enrollment Specialist (B2B SaaS) 

Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. As the fastest growing company in the physical therapy EMR space and the new standard in healthcare technology, we’re looking to bring on an EDI Enrollment Specialist to help contribute to the continued growth of our EDI/ERA Department.

This role is an unprecedented opportunity to have an immense impact in our industry leading EDI/ERA Department that ranks 40 Net Promoter Score points higher than our competition (in other words, people love Prompt). We’re looking for who is extremely organized and thorough and can ensure successful completion of enrollments for clients as they onboard to their new EMR. 

Why work for Prompt?

  • BIG CHALLENGES: Here at Prompt, we are solving complex and unique problems that have plagued the healthcare industry since the dawn of time.

  • TALENTED PEOPLE: Prompt didn't happen by chance, it's a team of incredibly talented and proven individuals who all made their mark before joining forces to build the greatest software on the planet for physical, occupational, and speech therapists.

  • HEALTHY APPROACH: This isn't an investment bank, we work long hours when it's needed, but at Prompt you own your workload and the entire organization takes a liking to smart work (over hard work)

  • POSITIVE IMPACT: Prompt helps outpatient rehab organizations treat more patients and deliver better care with less environmental waste. That means less surgery and less narcotic-based pain treatment, all while turning a paper-heavy industry digital. We aren't enthralled with patting ourselves on the back everyday, but it does feel good :)

The Role:

Our expectation of this role is that you become a major contributor in assisting our clients on their enrollment process from start to finish.

Key Responsibilities:

  • Meet with clients to help determine all the payers they will need to be enrolled with

  • Create EDI Master List that organize all enrollments Prompt will be responsible for and all of the enrollments (and their instructions) that the customer will need to perform

  • Complete drafts of all EDI enrollments and seek approval from customer for submission

  • Obtain signature from clients on all EDI enrollment forms

  • File the enrollment forms payers and clearinghouse as needed

  • Work with the client to fill out all the forms in which they are responsible to complete, submit and follow up with

  • Ensure sure the client fills out all the forms

  • Email/Call to follow up on all filings at recurring intervals

  • Learn and leverage our helpdesk software in order to file and follow up on enrollments and communicate with customers

  • During times where enrollments are complete, cross train with EDI analysts on how to be an effective contributor to the general help desk software conversation queue 

Minimum Requirements:

  • Working knowledge of X12 Manual (837P, 837I, 835, 276, 277)

  • Experience performing Healthcare EDI/ERA enrollment process from start to finish for Part A and/or Part B facilities

  • Experience as EDI Enrollment specialist and/or credentialing specialist, completing enrollment process from start to finish

  • Clear and effective communicator with excellent verbal and written skills

  • Demonstrated extreme attention to detail and organizational skills

  • Ability to meet deadlines with a strong sense of urgency

  • Excellent troubleshooting and analytical skills

  • Self-motivated with the ability to multitask and work independently as well as in a team setting.

Nice-to-have Qualifications:

  • Prior startup and/or B2B SaaS technology organization experience

  • Experience in any function of clinical development or medical billing operations (clinical operations, data management, biostatistics, system management, information management, medical monitoring, RCM follow up, claim review and submission, etc.)

  • Experience with Zendesk or similar customer support software

  • Experience with healthcare data/systems, ideally clinical/operational clinical trial data/systems

  • Knowledge of e-clinical systems and technologies (e.g. EMR, RTM, HEP, CRM, HIEs, etc)

Perks - What you can expect:

  • Competitive salaries

  • Remote/hybrid environment

  • Potential equity compensation for outstanding performance

  • Flexible PTO

  • Company-wide sponsored lunches

  • Company paid disability and life insurance benefits

  • Company paid family and medical leave

  • Medical, dental, and vision insurance benefits

  • Discounted pet insurance

  • FSA/DCA and commuter benefits

  • 401k

  • Credits for online and in-person fitness classes/gym memberships

  • Recovery suite at HQ – includes a cold plunge, sauna, and shower

Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer's explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees. We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don't hesitate to reach out to our People Department.

Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Prompt Therapy Solutions, Inc is an E-Verify Employer.

Top Skills

X12 Manual
Zendesk
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The Company
HQ: Paramus, New Jersey
82 Employees
On-site Workplace
Year Founded: 2017

What We Do

A fully integrated enterprise software solution for the physical therapy industry. Prompt Therapy Solutions has created a revolutionary platform for the physical therapy industry that allows an entire clinic or group to be managed from one system. Prompt offers scheduling, documentation, billing, home exercise programs, patient engagement and online scheduling all from one platform and has the potential to grow clinic revenue by up to 27% through efficiency gains and billing optimization.

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