If you’re the person who can get EDI, ERA, and EFT set up cleanly and keep providers billing without delays, this role is built for you. You’ll own payer and clearinghouse enrollment end-to-end, troubleshoot denials and enrollment errors, and keep records tight so claims and remits flow smoothly.
About RethinkFirst
Rethink Behavioral Health supports individuals with developmental disabilities through research-based resources, training, and practice management tools for ABA providers. Their Revenue Cycle Management team also delivers enrollment and credentialing services, helping mission-driven organizations serve families while keeping billing operations reliable and compliant.
Schedule
- Full-time, Monday–Friday (8:00 AM–5:00 PM)
- Remote (eligible states: AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA)
What You’ll Do
- Manage EDI enrollment processes for behavioral health/medical billing with strong data accuracy
- Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals
- Prepare and submit EFT setup applications with payers
- Review payments to identify payers that can be routed through clearinghouse for EDI, ERA, and EFT
- Troubleshoot enrollment issues with clearinghouses (Waystar, Availity, Stedi) and resolve enrollment roadblocks
- Investigate provider enrollment denials and errors, working directly with payers and providers to fix issues fast
- Partner with Billing Implementation and RCM Operations leadership to enroll new payers/providers
- Maintain accurate enrollment records and provide timely updates to management and clients
- Document workflows, system configurations, and tools used by the department
- Protect PHI and follow HIPAA guidelines in all tasks
- Support special projects as assigned
What You Need
- 2+ years of experience in revenue cycle management (medical or behavioral health billing)
- Hands-on EDI enrollment experience, including payer enrollment through clearinghouses (Availity, Waystar, Stedi)
- Familiarity with EDI file formats (example: 834 transactions) and experience with EDI software/systems
- Strong communicator (written and verbal) with the ability to work directly with clients and vendors
- Strong multitasking skills across multiple clients and priorities
- Comfort communicating across all organizational levels
- Self-starter mindset with urgency and follow-through
- Nice to have: CredentialStream experience
Benefits
- PTO and vacation after a 90-day introductory period
- Paid holidays
- Medical, dental, and vision benefits package
- 401(k) with matching
Backbone check: this isn’t “general billing.” It’s enrollment infrastructure. If you don’t have real EDI enrollment or clearinghouse setup experience, you’ll get cooked in interviews. But if you’ve done ERA/EFT setups, portal enrollments, and payer troubleshooting, this is a strong fit.
Happy Hunting,
~Two Chicks…