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Manager, EDI Enrollment
About Us:
Come Join Our Team!
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent 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. All legitimate roles are posted on https://ventrahealth.com/careers/.
Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all 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/.
Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue 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 complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
Come Join Our Team!
- As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards
Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!
Job Summary:
- The EDI Enrollment Manager at Ventra Health leads the EDI Enrollment team responsible for the timely and accurate setup, maintenance, and optimization of electronic data interchange (EDI), electronic remittance advice (ERA), electronic funds transfer (EFT), and related enrollments across clearinghouses (e.g., Athenahealth, PhiCure) and payers.
- This role oversees daily operations for new client onboarding EDI/ERA/EFT activations, ERA mapping, address changes, W9 submissions, enrollment escalations, and issue resolution to minimize paper-based processes, accelerate revenue realization, and ensure operational readiness in revenue cycle management (RCM). The Supervisor manages a cross-functional team, drives process adherence, monitors enrollment tracking in Monday.com, and collaborates with Project Management, Client Onboarding, Service Delivery, and payer entities to support Ventra Health’s mission of efficient, high-quality RCM services.
- Lead, mentor, and supervise the combined EDI Enrollment teams, including performance management, coaching, workload balancing across enrollment and mapping tasks, and career development
- Oversee 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 resolution of enrollment-related issues (e.g., missing ERA remits, claim rejections, failed transmissions)
- Monitor enrollment statuses, pending approvals/signatures, remittance posting exceptions, and clearinghouse databases via Monday.com; maintain accurate tracking, dashboards, and regular status reviews
- Coordinate and allocate resources flexibly across onboarding, post go-live and special projects for enrollment
- Handle complex escalations and troubleshooting for enrollment failures, transmission issues, and other payer issues; drive root-cause resolution with internal teams, payers, and clearinghouses
- Partner with Client Onboarding Lead and Revenue Cycle service delivery teams to execute work
- Ensure compliance with payer requirements, documentation standards, and use of tools/templates
- Provide regular status updates, KPI reporting (completion rates, rejection volumes, posting accuracy/automation metrics, process efficiency), and escalation summaries to leadership
- Perform special projects, support audits/compliance efforts, and other duties as assigned
- Bachelor’s Degree preferred; High School Diploma/GED with equivalent experience required
- 5+ years of experience in healthcare revenue cycle management, with strong background in EDI/ERA/EFT enrollment, clearinghouse operations, etc
- 2+ years of supervisory or team lead experience in RCM/EDI/ERA/EFT/mapping functions
- Hands-on experience with clearinghouses (Athenahealth, PhiCure, Imagine) and payer portals required
- Familiarity with RCM software (Monday.com, MedSuite, Freshdesk, Smartsheet) and payer reimbursement/ERA posting workflows
- 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, transmission 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 Microsoft Office Suite (Excel for tracking/reports), database tools, and RCM platforms
- Knowledge of medical terminology, coding concepts, and payer reimbursement processes a plus
- Initiative-driven with sound judgment; handles sensitive/confidential information appropriately
- Flexibility, collaboration, and strong alignment with Ventra Health values (excellence, accountability, teamwork, growth, transparency, inclusiveness, recognition, compliance)
- Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
- This position is also eligible for a discretionary incentive bonus in accordance with company policies.
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent 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. All legitimate roles are posted on https://ventrahealth.com/careers/.
Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all 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/.
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