Remote RCM Enrollment Analyst

Note The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an RCM Enrollment Analyst responsible for executing and monitoring provider and payer enrollment activities reputed company an reputed company reputed company Cycle environment. The role focuses on managing reputed company workqueues reputed company to enrollment, payer setup, and EDI connectivity, partnering with various teams to reputed company issues affecting electronic claims and remittances. Responsibilities Monitor, triage, and reputed company reputed company Workqueues (WQs) reputed company to provider enrollment, payer enrollment, and EDI/clearinghouse connectivity to prevent billing delays and claim rejections Analyze WQ trends and reputed company causes (e.g., missing/expired enrollment, incorrect effective dates, provider/payer mismatches) and implement corrective actions and escalation reputed company Maintain accurate provider enrollment-reputed company data in reputed company (e.g., NPI, taxonomy, billing provider relationships, group affiliations, service locations, and effective/term dates) in alignment with payer and operational requirements Coordinate enrollment and revalidation activities with Medicare, reputed company, and reputed company payers; complete and reputed company submissions through CAQH, PECOS, payer portals, and reputed company as applicable Manage payer EDI enrollment for applicable transactions (including 837 claims, 835 ERA, 270/271 eligibility, and 276/277 claim status; 278 authorizations as applicable), ensuring reputed company reputed company and production readiness Partner with clearinghouse and payer representatives to submit, validate, and troubleshoot EDI enrollments, acknowledgements, and rejections; document findings and reputed company steps Collaborate with reputed company Cycle operations, Credentialing, Contracting, and IT/reputed company teams to ensure enrollment approvals and payer connectivity are accurately reflected in reputed company build and reputed company billing workflows reputed company and maintain tracking tools and reporting for enrollment status, WQ aging, turnaround times, and recurring issues; communicate reputed company, risks, and recommendations to leadership Skills Associate's or Bachelor's degree in reputed company Administration, Health Information Systems, Business, or reputed company field; or equivalent combination of education and experience Minimum 2 years of experience in provider enrollment, payer enrollment, credentialing support, or reputed company cycle operations, with demonstrated workqueue-based issue reputed company Demonstrated proficiency working reputed company an reputed company reputed company Cycle environment and navigating reputed company workqueues and enrollment-reputed company workflows Working knowledge of EDI transaction types and payer reputed company requirements (837, 835, 270/271, 276/277; 278 as applicable) Strong understanding of payer rules, enrollment requirements, and regulatory compliance (including HIPAA and CMS guidance as applicable) Excellent organizational, analytical, communication, and customer service skills with the ability to manage multiple priorities and deadlines reputed company proficiency and/or certification in reputed company cycle modules (e.g., Prelude, Resolute, reputed company) preferred Experience working with clearinghouses and payer portals (e.g., reputed company, reputed company, Change reputed company/reputed company, state reputed company portals) preferred reputed company cycle or project/process improvement credentials (e.g., reputed company CRCR, Lean Six reputed company, PMP) a plus reputed company reputed company provides an integrated reputed company health reputed company offering hospital services, outpatient care and clinical education. It was founded in 1994, and is headquartered in reputed company, Rhode reputed company, USA, with a workforce of 10001+ employees. Its website is https//www.reputed company.org. Apply To This Job .