Payer Enrollment Specialist (EDI)

Location: Vadodara, India

Company

hirify.global provides healthcare software and supports revenue cycle operations for healthcare organizations.

What you will do

• Prepare, submit, monitor, and maintain EDI enrollment requests for electronic claims, remittance advice, funds transfer, eligibility, and claim status transactions.
• Complete payer-specific enrollment applications through payer portals, clearinghouses, and paper processes.
• Validate provider demographics, NPI, TIN, billing information, and banking details before submission.
• Follow up with payers and clearinghouses, investigate rejected or delayed requests, and escalate aging enrollments and connectivity issues.
• Maintain enrollment records, payer communications, approvals, rejection reasons, and corrective actions in audit-ready systems.
• Collaborate with Credentialing, Billing, AR, Payment Posting, Client Success, Implementations, and U.S.-based teams to support onboarding and revenue cycle readiness.

Requirements

• Experience managing electronic payer and clearinghouse enrollment processes.
• Knowledge of electronic claims, ERA/835, EFT, eligibility, and claim status transactions.
• Ability to validate sensitive provider, tax, billing, and banking information accurately.
• Ability to investigate deficiencies, resolve enrollment issues, track milestones, and communicate progress to stakeholders.
• Ability to safeguard sensitive information in accordance with HIPAA and organizational security requirements.

Culture & Benefits

• Full-time employment in Vadodara.
• Work with cross-functional and U.S.-based teams supporting healthcare provider onboarding.
• Inclusive workplace committed to diversity and equal employment opportunity.