HCA Healthcare · 4 hours ago
EDI Enrollment Specialist
United States
Full-time
Remote
Entry Level
1+ years expHCA Healthcare is a leading healthcare provider dedicated to the growth and development of its colleagues. They are seeking an EDI Enrollment Specialist responsible for enrolling providers electronically for claims submission and managing billing hold rules while ensuring effective communication with payers and internal teams.
BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
Responsibilities
Prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse
Prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers
Initiate telephone calls to payers with respect to provider enrollment and claim errors, utilizing proper customer service protocol
Review correspondence received and perform appropriate action to resolve
Manage billing hold rules including identifying, creating, monitoring, and releasing
Configure providers in billing system
Work as a liaison between Provider Enrollment department and other operational departments Participate in process to establish payer-specific billing edits
Meet and maintain established departmental performance metrics for production and quality Maintain working knowledge of workflow, systems, and tools used in the department
Qualification
Required
High school diploma or GED preferred
Minimum 1 year related healthcare experience preferred, such as EDI, ERA, and EFT configuration, professional medical billing, insurance follow-up, or accounts receivable follow-up. Relevant education may substitute experience requirement
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Company
HCA Healthcare
HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.
10001+ employees
H1B Sponsorship
HCA Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2022 (2)
2020 (1)
Funding
Current Stage
Public CompanyTotal Funding
$8.51B2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M
Leadership Team
Nicholas Manning
Chief Executive Officer
Nick Lane
Regional Vice President Human Resources
Recent News
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