EDI Enrollment Analyst

hhaexchange · Miami-Dade County, Florida

  • Junior
  • Full-time
  • Posted 2026-09-24
  • Confirmed live on 25 September 2026

Apply at hhaexchange

Job description

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.  
 
HHAeXchange is seeking a proactive and experienced Customer Success Manager (CSM) to join our dynamic team. In this pivotal role, you will manage a portfolio of 30–50 highly engaged, strategic enterprise accounts, guiding them through the entire lifecycle from contract signature to renewal and expansion. This segment requires deep partnership management, executive alignment, and tailored success strategies that support complex growth opportunities. The ideal candidate will be a strategic partner to our clients, ensuring they achieve maximum value from our solutions, leading to high renewal rates and identifying areas for long-term account development. While this role is not quota-carrying, your success will be measured by your ability to drive exceptional net retention, deepen executive relationships, and partner effectively with our quota-carrying Account Management team.
 
This is a hybrid position, with an expectation to report to the Midtown Manhattan, NYC office 3 days/week (typically Tues/Wed/Thurs). 
 
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodations.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Job Duties
• Manage electronic transaction enrollment activities for supported transaction types, including 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 enrollment systems and portals.

• Serve as the operational owner of assigned enrollment activities, ensuring timely follow-up, issue resolution, status tracking, and completion of enrollment requirements within established timelines.

• Maintain accurate enrollment records, case documentation, status updates, and related artifacts within Salesforce and other designated systems.

• Establish and maintain effective working relationships with payers, clearinghouses, and other trading partners to support enrollment processing, status tracking, issue resolution, and escalation management.

• Research, interpret, and maintain expertise in payer, clearinghouse, and trading partner enrollment requirements, policies, and processes.

• Develop and maintain provider-facing enrollment guides, templates, instructional materials, and process documentation in partnership with the Customer Experience team to ensure content accuracy, consistency, branding, and alignment with organizational standards.

• Translate complex enrollment requirements and third-party documentation into clear, actionable guidance for providers and internal stakeholders.

• Collaborate with the Customer Experience team to review, publish, and maintain customer-facing knowledge base content and enrollment-related communications.

• Partner with Customer Success Managers, Project Managers, Revenue Cycle Operations, and other stakeholders to ensure enrollment requirements, status updates, and provider responsibilities are communicated clearly and consistently.

• Create and maintain standard operating procedures, workflow documentation, and internal knowledge assets that promote consistent execution and operational scalability.

• Identify enrollment bottlenecks, recurring challenges, and process improvement opportunities, recommending solutions that improve enrollment efficiency and provider experience.

• Support automation, reporting, and continuous improvement initiatives that enhance enrollment operations, reduce manual effort, and improve operational visibility.

Other Job Duties
• Other duties as assigned by supervisor or HHAeXchange leader.

Travel Requirements
• Travel up to 10%, including overnight travel

Required Education, Experience, Certifications and Skills
• 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 excep

Prepare for the interview

Nothing collected for this employer yet. The Blind 75 is what technical screens draw from; practise it here, with a coach, in Java or Python.

More at hhaexchange

All open software jobs