What are the responsibilities and job description for the Payer Specialist position at AXXESS CONSULT INC?
Who we are looking for…
We are looking for an EDI Enrollment Specialist who is responsible for managing and maintaining electronic data interchange (EDI) enrollment processes to ensure accurate and timely submission of enrollment information with payers and clearinghouses. This role plays a critical part in supporting claims processing, compliance, and provider or member onboarding by ensuring EDI enrollment data is complete, compliance, and provider or member onboarding by ensuring EDI enrollment data is complete, compliant and successfully transmitted. The EDI Enrollment Specialist serves as a key liaison between internal teams, clients, clearinghouses, and payers. This role will support provider enrollment, resolving enrollment-related issues, and ensuring electronic transactions such as claims, remittances, and reports flow without disruption.
What you will experience…
- A fast-paced, collaborative team-oriented environment that encourages everyone to bring their authentic self to work every day.
- Professional development for career growth and advancement
- Competitive compensation (DOE) with full selection of benefits, including company-matching 401k contributions, a generous paid time off policy that includes company holidays, your birthday, and volunteer time off
Who we are…
Axxess is the leading global technology platform, transforming how care is delivered in the home. Trusted by more than 9,000 organizations worldwide, its robust ecosystem empowers healthcare professionals to deliver exceptional care to more than 7 million patients. Its AI-powered solutions drive efficiency, reduce costs and help improve outcomes, while its commitment to compliance and security is backed by industry-leading certifications. We bring life-changing technology to healthcare, impacting the way people work, learn, and grow their business. Our edge does not come from our technology, it comes from our people. We work as one team with a common goal to create shared success benefiting everyone. Axxess fosters a collaborative culture that fuels innovation and excellence and is recognized nationally as a “Best Place to Work.”
What you will do…
- Perform DDE (Direct Data Entry) credentialing and assist clients with completing payer enrollments by providing clear instructions and walking them through the process step by step
- Facilitate enrollment of Electronic Data Interchange (EDI) and Trading Partner Agreement (TPA) forms required to submit claims and retrieve reports on behalf of clients
- Coordinate and oversee provider enrollments with multiple payors, ensuring accuracy and timely completion
- Assist with researching and resolving missing 835 transactions (ERAs)
- Coordinate and provide timely status updates on issues, enrollments, and projects to all involved internal and external teams
- Proactively reach out to appropriate contacts and escalate issues when resolution is delayed or obstacles arise
- Develop and maintain effective working relationships and communication with external EDI and payer departments
What you bring:
- Bachelor’s Degree required
- 2-3 years of experience
- Demonstrate professional motivation, steadiness and dedication and the ability to develop and maintain successful, long-term, relationships with key industry/client contacts
- Proficient in Microsoft Office (Word, Excel, PowerPoint and Outlook)
- Demonstrate organizational, problem solving and analytical skills
- Past or similar experience in a Healthcare billing office with consistent communication with the payer
- Hands‑on experience working with CGS, NGS, and Palmetto
- Strong attention to detail and ability to manage multiple enrollment tasks simultaneously
- Ability to work independently and communicate effectively with internal and external stakeholders
- Ability to work in the Dallas office as this is not a remote role
We offer a competitive compensation package (DOE), full benefit selection, matching 401k and growth opportunities for everyone who joins Axxess. Axxess is an EOE and drug free workplace. All applicants must be authorized to work in and currently reside in the United States.
Axxess is an equal opportunity employer and drug-free workplace. All applicants must be authorized to work in and currently reside in the United States. We offer a competitive compensation package (DOE), benefits and growth opportunities for everyone who joins Axxess!
*NO AGENCIES OR THIRD PARTIES PLEASE*
#LI-KJ1