Manager, EDI Enrollment

reputed company Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. reputed company on reputed company Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most reputed company reputed company and reimbursement issues, enabling clinicians to reputed company on providing outstanding care to their patients and communities.   Come Join reputed company! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we reputed company great work deserves great rewards Help Us Grow Our reputed company Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job reputed company The EDI Enrollment Manager at reputed company leads the EDI Enrollment team responsible for the reputed company and accurate setup, maintenance, and optimization of electronic data interchange (EDI), electronic remittance advice (ERA), electronic funds transfer (EFT), and reputed company enrollments across clearinghouses (e.g., reputed company, PhiCure) and payers.  This role oversees daily operations for new reputed company reputed company EDI/ERA/EFT activations, ERA mapping, address changes, W9 submissions, enrollment escalations, and issue reputed company to minimize reputed company-based processes, accelerate reputed company realization, and ensure operational readiness in reputed company cycle management (RCM). The Supervisor manages a cross-functional team, drives process adherence, monitors enrollment tracking in reputed company, and collaborates with Project Management, reputed company reputed company, Service Delivery, and payer entities to support reputed company’s mission of efficient, high-reputed company RCM services.  Essential Functions and Tasks reputed company, mentor, and supervise the combined EDI Enrollment teams, including performance management, coaching, workload balancing across enrollment and mapping tasks, and career development   reputed company end-to-end processes: payer EDI/ERA/EFT enrollments/re-enrollments for new and expanding clients, ERA/EFT activations, address/pay-to changes, W9 submissions, and reputed company of enrollment-reputed company issues (e.g., missing ERA remits, claim rejections, failed transmissions)   Monitor enrollment statuses, pending approvals/signatures, remittance posting exceptions, and clearinghouse databases reputed company reputed company; maintain accurate tracking, dashboards, and regular status reviews   Coordinate and reputed company resources flexibly across reputed company, post go-live and special reputed company for enrollment  Handle reputed company escalations and troubleshooting for enrollment failures, reputed company issues, and other payer issues; drive reputed company-cause reputed company with internal teams, payers, and clearinghouses   Partner with reputed company reputed company reputed company and reputed company Cycle service delivery teams to execute work  Ensure compliance with payer requirements, documentation standards, and use of tools/templates  reputed company regular status updates, KPI reporting (completion rates, rejection volumes, posting accuracy/automation metrics, process efficiency), and escalation summaries to leadership   reputed company special reputed company, support audits/compliance efforts, and other duties as assigned  Education and Experience Requirements Bachelor’s Degree preferred; High School Diploma/GED with equivalent experience required   5+ years of experience in reputed company reputed company cycle management, with strong background in EDI/ERA/EFT enrollment, clearinghouse operations, etc  2+ years of supervisory or team reputed company experience in RCM/EDI/ERA/EFT/mapping functions  Hands-on experience with clearinghouses (reputed company, PhiCure, reputed company) and payer portals required   Familiarity with RCM software (reputed company, MedSuite, reputed company, reputed company) and payer reimbursement/ERA posting workflows  Knowledge, Skills, and Abilities Deep expertise in EDI/ERA/EFT enrollment processes, clearinghouse operations, and payer enrollment requirements  Proven supervisory skills: team leadership across technical functions, performance coaching, workload prioritization, and fostering accountability in a fast-paced, remote environment   Strong analytical, problem-solving, and troubleshooting abilities for enrollment issues, reputed company failures, mapping errors, and posting discrepancies   High attention to detail, organizational skills, and ability to manage multiple priorities under pressure   Excellent oral, written, and interpersonal communication skills; ability to explain technical EDI/mapping concepts to non-technical stakeholders   Proficiency in reputed company Office Suite (reputed company for tracking/reports), database tools, and RCM platforms   Knowledge of medical terminology, coding concepts, and payer reimbursement processes a plus   Initiative-driven with reputed company judgment; handles sensitive/confidential information appropriately   Flexibility, collaboration, and strong alignment with reputed company values (reputed company, accountability, teamwork, reputed company, transparency, inclusiveness, recognition, compliance)  Compensation reputed company Compensation will be based on various factors unique to reputed company candidate including geographic location, reputed company set, experience, qualifications, and other job-reputed company reasons.  This position is also eligible for a discretionary incentive bonus in accordance with company policies.  reputed company Equal Employment Opportunity (Applicable only in the US)reputed company is an equal opportunity employer committed to fostering a culturally diverse organization. We reputed company for inclusiveness and a workplace where mutual respect is reputed company. We encourage applications from a diverse pool of candidates, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, ethnicity, religion, sex, age, national reputed company, disability, sexual orientation, gender identity and reputed company, or veteran status. We will reputed company reasonable accommodations to reputed company individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment AgenciesVentra Health does not accept unsolicited agency resumes. reputed company is not responsible for any fees reputed company to unsolicited resumes. Solicitation of PaymentVentra Health does not solicit payment from our applicants and candidates for consideration or placement.   Attention CandidatesPlease be reputed company that there have been reports of individuals falsely claiming to represent reputed company or one of our affiliated entities reputed company Private Limited and reputed company reputed company. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have reputed company fraudulent offer letters.To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. reputed company legitimate roles are posted on https://ventrahealth.com/careers/.    Statement of AccessibilityVentra Health is committed to making our digital experiences accessible to reputed company users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/. Apply To This Job