EDI Enrollment Analyst I

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.

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.
At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.
We're on a mission to bring the focus back to what truly matters – patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 12 billion transactions annually, our influence is continually expanding.
Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.

Sponsorship, in any form, is not available for this position.

Location: Remote US

Why you want to work on this team:

• Team culture focused on personal growth, upskilling, and career advancement.
• Supportive, collaborative, and high-performing environment where team members celebrate each other’s wins and share best practices.
• Regular team huddles to foster learning, connection, and mutual support.
• Recognition and rewards for high performance.
• Leadership committed to helping you achieve your career goals.

Role Summary:

• Triaging and managing a high-volume of enrollment-related support tickets daily, ensuring timely follow-up and resolution.
• Utilizing Excel and Availity’s enrollment systems (E Pro, Essentials) to process, track, and organize enrollment requests.
• Communicating with payers via portals, email, and phone to obtain and verify enrollment statuses.
• Completing and sending required paperwork to payers and proactively providing status updates on enrollment requests to reduce case volume.
• Using Salesforce, Outlook, and Teams for workflow, documentation, and team collaboration.
• Participating in regular team huddles to share updates, challenges, and best practices.

To be qualified for this position you: 

• Have basic to intermediate Excel skills (filtering, organizing, simple formulas).
• Have experience using Availity’s enrollment systems or similar EDI tools.
• Understand EDI enrollment for clearinghouses.
• Can handle high-ticket volume and meet closure goals
• Are comfortable making phone calls to payers.
• Pay attention to detail and are open to learning.

You Will Set Yourself Apart With

• Proficiency in Salesforce and Excel, including basic formulas and pivot tables.
• Prior exposure to proactive statusing and payer paperwork processes.

You will be:

• Triaging and managing a high volume of enrollment-related support tickets daily, ensuring timely follow-up and resolution.
• Utilizing Excel and Availity’s enrollment systems (E Pro, Essentials) to process, track, and organize enrollment requests.
• Communicating with payers via portals, email, and phone to obtain and verify enrollment statuses.

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. 

Interview process:  

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

Video Camera Usage:

Availity fosters a collaborative and open culture where communication and engagement are central to our success.  As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role.

Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships.  The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants.

Disclaimers:

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.

Click the links below to view Federal Employment Notices.

Family & Medical Leave Act  Equal Employment Law Poster  Pay Transparency  Employee Polygraph Protection Act  IER Right to Work Poster  Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers