[Hiring] EDI Specialist @AMSURG

Role Description

The EDI Specialist I supports the implementation, configuration, enrollment, and maintenance of Electronic Data Interchange (EDI) processes for ambulatory surgery centers and physician practices. This role is responsible for executing standard payer enrollments, maintaining configuration data, monitoring claim activity, and providing first-level troubleshooting support under established procedures and guidance.

The EDI Specialist I develops foundational expertise in revenue cycle management systems, payer connectivity, and clearinghouse operations while contributing to successful implementations and operational stability.

Work Schedule: Remote First

Essential Responsibilities

• EDI Enrollment & Configuration
  • Complete standard clearinghouse and payer enrollment activities.
  • Assist with establishing payer connectivity for implementations.
  • Maintain billing system configuration data including:
    • Payer master files
    • Provider records
    • Libraries
    • Electronic and paper claim setup
  • Monitor enrollment progress and escalate delays or issues.
• Implementation Support
  • Participate in implementation discovery and data gathering activities.
  • Support project build tasks according to established standards.
  • Assist with post-go-live monitoring of claims and electronic remittance activity.
  • Document implementation activities and outcomes.
• Issue Resolution
  • Perform initial analysis of payer rejections and clearinghouse errors.
  • Resolve routine claim submission and ERA issues.
  • Escalate complex payer or configuration issues appropriately.
  • Support Service Desk and operations teams with EDI-related inquiries.
• Documentation & Testing
  • Maintain process documentation and user guides.
  • Participate in testing activities within non-production environments.
  • Validate build accuracy and identify potential issues.

Qualifications

• Basic understanding of healthcare revenue cycle processes.
• Working knowledge of EDI transactions including 837 and 835.
• Understanding of payer enrollment workflows.
• Strong analytical and organizational skills.
• Effective written and verbal communication skills.
• Ability to learn technical systems quickly.
• Strong attention to detail and follow-through.

Requirements

• Associate degree or equivalent combination of education and experience.
• 1-3 years of experience in:
  • Experience with practice management systems preferred.
  • Exposure to clearinghouses and payer enrollment processes preferred.

Benefits

• Paid Time Off
• Medical, Dental, Vision, Life, Disability
• Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA
• FSAs for Transportation and Parking & HSAs
• Matching 401(K) Plan
• AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position can earn a minimum of 20 days and up to 25 days per calendar year.