EDI Enrollment Analyst

HHAeXchange

. Manage electronic transaction enrollment activities for claims (837), remittance advice (835), eligibility (270/271), and future enrollment programs as applicable .

Posted 9/24/2026full-timeNew York City • New York • United StatesJuniorMid-Level💰 $105,000 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing healthcare electronic transaction enrollment activities, including claims and eligibility transactions, while maintaining strong relationships with payers and stakeholders. Proficient in creating process documentation and improving operational workflows to enhance enrollment efficiency.

Highest-signal resume keywords

Healthcare Electronic TransactionsPayer Enrollment ProcessesSalesforce Case ManagementProcess Documentation CreationAnalytical Problem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

837 Claims835 Remittance Advice270/271 Eligibility TransactionsHealthcare OperationsRevenue Cycle SupportProvider OnboardingInteroperability SupportProcess ImprovementWorkflow DocumentationKnowledge Articles

Soft Skills

Attention to DetailOrganizational SkillsWritten CommunicationVerbal CommunicationRelationship Building

Tools & Technologies

SalesforceMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint

Industry Keywords

HealthcarePayersClearinghousesEnrollment ProgramsCustomer Experience

About the role

Key responsibilities & impact

Manage electronic transaction enrollment activities for claims (837), remittance advice (835), eligibility (270/271), and future enrollment programs as applicable
Initiate, coordinate, track, and facilitate enrollment requests through payer, clearinghouse, and trading partner systems and portals
Own assigned enrollment activities, ensuring timely follow-up, issue resolution, status tracking, and completion within established timelines
Maintain accurate enrollment records, case documentation, status updates, and related artifacts in Salesforce and other designated systems
Build working relationships with payers, clearinghouses, and trading partners to support enrollment processing, issue resolution, and escalation management
Research and maintain expertise in payer, clearinghouse, and trading partner enrollment requirements, policies, and processes
Develop provider-facing enrollment guides, templates, instructional materials, and process documentation with the Customer Experience team
Translate complex enrollment requirements and third-party documentation into clear guidance for providers and internal stakeholders
Review, publish, and maintain customer-facing knowledge base content and enrollment communications
Partner with Customer Success Managers, Project Managers, Revenue Cycle Operations, and other stakeholders to communicate enrollment requirements and updates
Create and maintain standard operating procedures, workflow documentation, and internal knowledge assets
Identify enrollment bottlenecks and process improvement opportunities
Support automation, reporting, and continuous improvement initiatives
Perform other duties as assigned

Requirements

What you’ll need

2-5 years of experience in healthcare operations, payer enrollment, revenue cycle support, provider onboarding, interoperability support, or related operational roles
Working knowledge of healthcare electronic transactions, including 837 claims, 835 remittance advice, eligibility transactions, and payer enrollment processes
Experience working with healthcare payers, clearinghouses, enrollment programs, or provider onboarding activities
Experience managing work through CRM or case management platforms such as Salesforce
Strong analytical and problem-solving skills with exceptional attention to detail
Excellent organizational skills and ability to manage multiple enrollment activities simultaneously
Exceptional written and verbal communication skills with the ability to simplify and communicate complex information clearly
Experience creating process documentation, job aids, knowledge articles, standard operating procedures, or instructional materials
Ability to build effective working relationships with internal stakeholders and external business partners
Proficiency with Microsoft Office applications, particularly Excel, Word, and PowerPoint
Ability to work both independently and collaboratively in a fast-paced environment
Bachelor's degree in Business, Healthcare Administration, Information Systems, or a related field, or equivalent work experience, preferred
Ability to perform essential job duties satisfactorily with or without reasonable accommodations
Willingness to travel up to 10%, including overnight travel

Benefits

Comp & perks

Competitive health plans
Paid time-off
Company paid holidays
401K retirement program with a Company elected match
Other company sponsored programs
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions