Payer Enrollment Specialist

Manage and submit electronic data interchange (EDI) enrollment requests for healthcare providers, including claims, remittance advice, funds transfer, and eligibility transactions.

Coordinate with insurance payers, clearinghouses, and internal teams to ensure timely and accurate electronic connectivity for claims processing and payment.

Maintain high-quality documentation and track enrollment status to meet service-level agreements and support audit readiness.

Minimum 2 years experience in Healthcare Revenue Cycle Management with direct responsibility for EDI Enrollment.

Experience with commercial, Medicare, and Medicaid payer electronic enrollment, including EFT, ERA, and electronic claims.

Working knowledge of HIPAA electronic transaction standards (837, 835, EFT; 270/271 and 276/277 preferred).

Onsite requirement at Vadodara office; Night/US shift (6:30pm-3:30am IST); remote applicants not considered.

Experienced in managing end-to-end EDI enrollment workflows with measurable success in meeting SLAs and reducing enrollment delays.

Familiar with multiple payer portals, clearinghouse platforms, and healthcare enrollment systems in a US healthcare environment.

Capable of cross-functional collaboration with Credentialing, Billing, and Client Success teams to support provider onboarding and revenue cycle readiness.