EDI Enrollment Analyst II

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.

The EDI Enrollment Analyst II is responsible for the support of internal processes, analysis, and resolution of client issues related to payer EDI registration and enrollment. This role is key to ensuring that procedures and service levels are maintained in a growing list of Availity products and services. The position requires a level of technical proficiency and the ability to understand complex relationships of internal and external business processes, IT platforms and tools. The EDI Enrollment Analyst II will also be required to carry out other duties, projects, or activities as specified by their management.

No sponsorship in any form is available for this role.

Location: Remote US

Why you want to work on this team:

• This is a great growth opportunity from our call center
• This opportunity allows you to work directly with our Payer clients

What you will be doing:

• Work on problems of moderate scope where analysis of situations or data requires a review of a variety of factors.
• Exercise judgment within defined procedures and practices to determine appropriate action.
• Builds productive internal/external working relationships.
• EDI Enrollment with the payers along with the ability to identify trends.
• Resolving cases by internal and external clients in a timely and professional manner while determining the root cause as needed.
• Call payers to obtain status on enrollments.
• Updating and maintaining accurate EDI Enrollment Paperwork.
• Partner with the Availity India team daily.
• Assist with Large Client implementations and Payer Migrations.
• Working on problems of moderate scope where analysis of situations or data requires a review of a variety of factors.
• Exercise judgment within defined procedures and practices to determine appropriate action.
• Builds productive internal/external working relationships.

Requirements:

• 2 years of work experience with enrollment paperwork, customer service or healthcare billing or 2 years related experience with a bachelor's degree
• Demonstrated ability to develop processes and procedures to provide proactive management and support of production systems a plus
• Experience with Healthcare Vendor Community, including Payers, Billing Services, Practice Management Systems and Clearinghouses
• Proficiency with all with Microsoft Office products
• Customer service experience using telephone and e-mail as primary communication tools
• Project management skills
• Excel, minimal SQL and other database reporting knowledge
• Preferred minimum of 1 Year of work experience with Availity EDI Enrollment

Next steps in process:

After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.

Availity culture and benefits:

• Availity is a certified "Great Place to Work", a "Best Workplaces for Technology Companies", a "Best Workplaces for Women" and a "Best Workplaces for Millennials"!
• Culture is important to us and there are many ways for you to make your mark here!
• We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates. "AvaiLadies", "Beyond Black", "HOLA", "Availity Pride", "VetAvaility" a Young Professionals Group and "She Can Code IT" a group for women in tech are some of the groups you can get involved in.
• Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!
• We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one!
• We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.
• Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
• Interested in furthering your education? We offer education reimbursement!
• Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.

Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.

Interview process:

• Recruiter resume review
• Manager resume review
• Manager video interview
• Team panel video interview

Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at http://www.dhs.gov/e-verify.

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