Enrollment Specialist, EDI

Are you looking to jump start your career?

At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.

We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference.

About the Role

How you will make an impact:

In this role, you’ll:

• Analyze XIFIN payor lists to determine enrollment requirements for claims, ERA, EFT, and eligibility.
• Prepare, submit, and follow up on enrollment documentation with various payors and clearinghouses, ensuring compliance with current requirements and timelines.
• Manage and prioritize a full caseload of enrollment cases via XIFIN’s CRM system, maintaining high accuracy and responsiveness.
• Serve as a liaison between customers, clearinghouses, and payors to resolve issues and troubleshoot delays in the enrollment process.
• Partner with the implementation team to ensure timely and successful EDI setup for new client accounts.
• Coordinate with EDI Operations, Customer Service, and other internal teams to ensure payor approvals and manage denials efficiently.
• Analyze submission and remittance data to optimize EDI utilization and identify opportunities for connectivity improvements.
• Contribute to process improvement initiatives, standard operating procedure updates, and workflow enhancements.
• Provide support and guidance to Associate Enrollment Specialists and assist with onboarding/training as needed.

What you will bring to the team: This section is about behaviors and intangible qualities

We’re looking for someone with a growth mindset and a passion for learning. You might be a great fit if you:

• Strong analytical and problem-solving capabilities with keen attention to detail.
• Ability to manage projects independently and meet deadlines in a fast-paced environment.
• High proficiency in Microsoft Excel and other data analysis/reporting tools.

Skills and experience you have:

You don’t need to check every box. We will consider a combination of education and experience, including:

• High School Diploma required, advanced coursework in Finance, Business or Healthcare a plus
• Associate Degree in a relevant field (Healthcare Administration, Health Information Technology, Business Administration, Information Systems) a plus.
• 2 – 4 years minimum experience in a healthcare environment, specifically in:
  • EDI enrollment processes (claims, ERA, EFT, eligibility)
  • Working with clearinghouses and payors
  • Medical billing or claims submission workflows
• Proven experience managing full enrollment caseloads and interacting with both external stakeholders (e.g., clearinghouses, payors) and internal teams (e.g., implementation, customer service).
• Experience in Credentialing, healthcare billing and medical terminology required
• Intermediate level of proficiency with Microsoft Office with the ability to create, edit, copy, send and save documents and spreadsheets in Microsoft Word and Microsoft Excel.

Preferred:

• Experience using EDI platforms and CRMs (e.g., XIFIN, Availity, Change Healthcare, Salesforce).
• Familiarity with 837/835 file formats, ERA/EFT enrollments, and payer-specific documentation workflows.
• Exposure to process improvement, cross-functional collaboration, or mentoring of junior staff.