RCM Enrollments Specialist

About the role

The RCM Enrollments Specialist will manage and execute the end-to-end enrollment process for EDI, EFT, and ERA for a national network of thousands of payers. This position requires experience in Revenue Cycle Management, specifically focused on Enrollments or EDI Management, and a comprehensive understanding of payer-specific enrollment portals and paper-based enrollment requirements.

Responsibilities

• Manage and execute the end-to-end enrollment process for EDI (Electronic Data Interchange), EFT (Electronic Funds Transfer), and ERA (Electronic Remittance Advice) for a national network of thousands of payers.
• Proactively add and configure new payers to the system as the company expands its network and footprint.
• Serve as the internal subject matter expert for clearinghouse operations and payer-specific enrollment requirements.
• Investigate and resolve electronic connection issues, identifying root causes for transmission failures or "missing" ERAs.
• Audit existing payer connections regularly to ensure EFT/ERA setups are active and funds are being routed correctly.
• Maintain the health of 270/271 (Eligibility) and 837/835 (Claims/Remittance) transaction loops to minimize manual intervention.
• Cook up and maintain accurate and timely enrollment data to align with credentialing and banking requirements.
• Coordinate with Payer Relations and Finance teams to ensure all enrollment data aligns with credentialing and banking requirements.

Requirements

• Experience 3+ years in Revenue Cycle Management, specifically focused on Enrollments or EDI Management.
• Experience working within a DME (Durable Medical Equipment) environment is highly preferred.
• Proven track record of managing enrollments across a large, national payer base (Commercial, Medicare, and Medicaid).
• Deep technical expertise in HIPAA standard transactions: 270/271, 837, and 835.
• Proficiency with major clearinghouse platforms.
• Strong proficiency in Excel for tracking high-volume enrollment statuses and project management.
• Comprehensive understanding of payer-specific enrollment portals and paper-based enrollment requirements.
• Familiarity with NPI, Tax ID, and PTAN configurations in relation to electronic billing.

Qualifications

• Exceptional organizational skills with the ability to manage thousands of moving parts simultaneously.
• Relentless follow-through, you don't stop until the connection is live.

Skills

• Technical Skills: Deep technical expertise in HIPAA standard transactions: 270/271, 837, and 835. Proficiency with major clearinghouse platforms.
• Soft Skills: Exceptional organizational skills with the ability to manage thousands of moving parts simultaneously. Relentless follow-through, you don't stop until the connection is live.

Benefits

We offer competitive benefits, professional development opportunities, and a culture that prioritizes work-life balance and continuous improvement. We are an equal opportunity employer and committed to building a workplace where everyone feels a sense of belonging, where their contributions are valued, and where they can do their best work.

Pay

Competitive compensation package including base salary, performance bonuses, and equity options.

Schedule

Full-time position with flexible hours to accommodate your needs.