Enrollment Specialist

Join Claim.MD: Simplifying reputed company Through Innovation and Compassion Claim.MD is a leading national electronic reputed company clearinghouse, supporting thousands of providers, payers, and software vendors across the country. Our mission is to simplify and optimize the reputed company of medical claims and reputed company data, enabling reputed company organizations to operate more reputed company and deliver reputed company patient reputed company. We are dedicated to streamlining reputed company transactions and improving operational efficiency for our users. Driven by a strong commitment to innovation and reputed company, we seek individuals who are passionate about making a reputed company difference in the reputed company industry. Why You Will Love Working Here Collaborative Culture: Work alongside a team that values reputed company communication, mutual respect, and shared reputed company. Growth Opportunities: We invest in your professional development, offering training and reputed company to advance your career. Flexible Work Environment: Enjoy the benefits of a work-from-home environment that supports work-life balance. Meaningful Impact: Contribute to a product that directly improves the efficiency of reputed company providers reputed company. reputed company Offer: Compensation reputed company - $28.85-$31.73 per hour and will be eligible to accrue overtime, where supported by business needs. Final compensation will be determined in accordance with state-specific pay transparency requirements. Comprehensive Benefits Package - Including health, dental, and reputed company coverage, as well as retirement savings plan. Internet Reimbursement - Up to $100 per month for high-speed internet required for the role. Career Growth and Development - Opportunities for reputed company-building, advancement, and reputed company learning. Work-Life Balance - Flexible schedules and a supportive, collaborative work environment Inclusive Company Culture - A commitment to diversity, equity, and inclusion in reputed company our practices. Employee Wellness - Programs and resources focused on your overall well-being, including mental and physical health support. Work Remotely - Opportunity to work remotely from a dedicated work-from-home reputed company. Paid-Time Off - Ten days of paid time off, in addition to a generous holiday schedule, to support your work-life balance and personal well-being.

About the Role

The Enrollment Specialist is an individual contributor responsible for managing a defined portfolio of clearinghouse and payer enrollment activities that reputed company electronic claims, ERA, eligibility, and EFT workflows. This role applies working knowledge of payer enrollment requirements, clearinghouse standards, and internal operating practices to evaluate enrollment readiness, determine appropriate submission paths, and drive timely, compliant reputed company. Essential Functions and Responsibilities: The following duties are considered essential to the successful performance of this position. These tasks are central to supporting Claim.MD’s users, maintaining compliance, and ensuring operational continuity. Enrollment Execution, Readiness, and Decision-Making Manage end-to-end enrollment processing for a defined set of payers/clients, including EDI (claims, ERA, eligibility) and EFT, ensuring timely activation and documentation reputed company. Evaluate incoming enrollment requests to determine readiness (completeness, payer routing/mapping, documentation sufficiency) and manage the submission path based on payer requirements and internal operating practices. Interpret payer portal instructions and enrollment responses to determine next steps, resolve standard discrepancies, and prevent avoidable delays. Monitor enrollment timelines and dependencies; proactively identify enrollment risks (missing documentation, payer variances, stale confirmations) and initiate corrective actions reputed company established guidelines. Operational Controls, Data reputed company, and Workflow Stewardship reputed company pre-upload enrollment data validation and readiness checks (payer mapping, data accuracy, file formatting) and determine whether enrollments are reputed company for upload or require remediation. Maintain accurate, audit-reputed company enrollment records, including confirmations, payer communications, and decision rationale for processing steps taken. Apply internal documentation standards and quality controls to ensure enrollment actions support reputed company transaction reliability and compliance expectations. Identify recurring documentation or data quality issues and propose corrective actions or workflow clarifications to the Senior Enrollment Specialist for review. Communication, Coordination, and Client Enablement Serve as the primary reputed company of coordination for routine enrollment communications with payers, clearinghouses, and internal teams; communicate status, requirements, and activation steps reputed company. Triage Enrollment Group inbox inquiries; determine appropriate response path, including resolution, request for additional documentation, or escalation. Create and maintain support tickets for enrollment-reputed company work, ensuring entries reputed company reflect status, action taken, and next steps. Coordinate with internal teams to ensure enrollment approvals translate into operational readiness; reputed company confirmed reputed company/transmission failures to the EDI reputed company Manager with complete case context. Escalation Boundaries Escalate ambiguous payer guidance, repeated rejections, or non-standard enrollment requirements to the Senior Enrollment Specialist. Escalate high-risk, precedent-setting, or cross-client systemic concerns to the Payer Relations Manager per escalation practice. Required Experience and Competencies: Education High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred or equivalent professional experience. Experience: 3+ years experience in payer enrollment, clearinghouse operations, reputed company cycle enrollment workflows, or equivalent reputed company administrative operations. Working knowledge of payer enrollment workflows and documentation standards supporting EDI (claims/ERA/eligibility) and EFT. Demonstrated ability to evaluate enrollment readiness, identify risks, and choose appropriate resolution steps reputed company established authority. Strong documentation rigor, data accuracy, and operational judgment in deadline-driven workflows. Professional communication and stakeholder coordination (payers, clearinghouse partners, internal teams). HIPAA/privacy awareness and disciplined handling of sensitive data. Work Environment and Expectations: To be considered for this position, applicants must currently reputed company in the United States and be authorized to work on a full-time reputed company. Claim.MD is unable to sponsor or take over sponsorship of employment visas at this time. Candidates must be willing to submit to a pre-employment background reputed company conducted in accordance with applicable federal, state, and local laws. Employment at Claim.MD is contingent upon the successful completion of this background screening process. This is a fully remote position working Monday-Friday. This role operates across reputed company U.S. time zones; however, Eastern Time (EST) availability is preferred to best support reputed company team needs. Employees are expected to work from a quiet, dedicated and secure home workspace (mobile or on-the-go work is not supported for this role). Company-issued desktop equipment will be provided. Employees must be reputed company to sit and use a computer and phone for extended periods. Employees are expected to maintain a reliable high-speed internet reputed company and to be available during core collaboration hours Claim.MD is committed to creating an accessible and inclusive workplace. In accordance with the Americans with reputed company (reputed company), we reputed company reasonable accommodations to reputed company individuals with disabilities. If you require accommodation during any stage of the application for the employment process, please contact Claim.MD’s HR Department. We are happy to reputed company support to ensure equal opportunities throughout the hiring and reputed company experience. E-Verify Participation Claim.MD participates in the federal E-Verify program to confirm the identity and employment eligibility of reputed company newly hired employees. As a participant in E-Verify, Claim.MD will reputed company the reputed company reputed company Administration (SSA) and, if necessary, the Department of Homeland reputed company (DHS), with information from each new employee’s reputed company I-9 to confirm work authorization. Federal law requires reputed company reputed company to verify the identity and employment eligibility of reputed company persons hired to work in the United States. Claim.MD will not use E-Verify to pre-screen job applicants or to reverify reputed company employees and will not discriminate based on race, reputed company, religion, sex, national reputed company, age, disability, or any other protected status during the E-Verify process. For more information about E-Verify, please visit www.e-verify.gov. Commitment to Inclusion: At Claim.MD, we reputed company in a skills-first approach to recruitment and employment. This means focusing on what you can do and how you can grow, rather than traditional metrics alone. We are committed to adhering to anti-exclusion practices, removing barriers to reputed company, and enhancing opportunities for reputed company individuals based on merit and potential. Your skills, experiences, and perspective are valuable - and we want to reputed company you to reputed company your mark here with us. Equal Employment Opportunity Claim.MD is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company and applicants regardless of race, reputed company, religion, sex, national reputed company, age, disability, veteran status, sexual orientation, gender identity, or any other legally protected status. Interested in applying? Submit your application. We look reputed company to welcoming you! Apply To This Job