If you know how to get providers fully enrolled so claims can actually move and money can actually land, this role is your lane. You’ll own payer and clearinghouse enrollments (EDI, ERA, EFT), troubleshoot denials, and keep clean records so billing teams aren’t stuck waiting on “pending” forever.
About RethinkFirst
RethinkFirst supports behavioral health providers with research-based tools and platforms that help individuals with developmental disabilities and their families. Their Billing Services Division focuses on Revenue Cycle Management plus Enrollment and Credentialing, supporting mission-driven organizations in a fast-growing space.
Schedule
Full-time, Monday–Friday (8:00 AM–5:00 PM)
Remote (state eligibility limited to: 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 government and commercial payer enrollment for EDI-related billing setup
- Prepare and submit applications to configure:
- EDI claims and ERA through clearinghouses and payer portals
- EFT with payers
- Review incoming payments to identify payers that can be routed through clearinghouse for EDI/ERA/EFT
- Communicate with clearinghouses (Waystar, Availity, Stedi, etc.) to resolve enrollment issues
- Investigate enrollment denials and errors, working directly with payers and providers to fix and resubmit quickly
- Partner with Billing Implementation and RCM Operations leadership to enroll new payers/providers and clear enrollment tasks
- Maintain accurate enrollment records and provide status updates to management and clients
- Document workflows, system configurations, and tools used by the department
- Follow HIPAA requirements and safeguard sensitive data
- Take on special projects as assigned
What You Need
- 2+ years of revenue cycle management experience (medical billing or behavioral health billing)
- Hands-on experience with EDI enrollment, including payer enrollment through clearinghouses like Availity, Waystar, and Stedi
- Familiarity with EDI file formats (example: 834 transactions) and EDI systems/software
- Strong communication skills (written and verbal) with comfort dealing with clients and vendors
- Ability to juggle multiple enrollments and multiple clients without dropping details
- Comfortable communicating across all levels of an organization
- CredentialStream experience is a plus
Benefits
- PTO and vacation days after a 90-day introductory period
- Paid holidays
- Health, dental, and vision benefits
- 401(k) with matching
Quick reality check: this is an “unblock the money” role. If you don’t enjoy chasing down missing info, pushing payers, and documenting everything cleanly, it’ll be miserable. If you do, you’ll look like a hero weekly.
Happy Hunting,
~Two Chicks…