EDI Team Lead

Job Description:

• Interview, hire, and onboard new EDI Analysts in partnership with the internal onboarding team
• Hold weekly discussions with direct reports regarding customer support needs and operational blockers
• Monitor and evaluate team performance, providing feedback and coaching
• Identify process-improvement opportunities, surface trends and recurring pain points, and recommend solutions to senior leadership
• Own end-to-end EDI relationship management for an assigned book of accounts
• Lead customer kickoff meetings and delegate assistance to team members as needed
• Join customer meetings with direct reports to coach communication and product knowledge
• Serve as primary escalation point for complex or sensitive client EDI/ERA issues
• Resolve high-stakes issues directly and coach the team to handle similar situations independently
• Provide ongoing training, coaching, mentorship, and performance reviews for direct reports
• Support rollout of new EDI workflows, tools, and processes
• Collaborate with BSM and CSM teams on trends and cross-functional escalations
• Provide leadership on product functionality coaching and delegate teaching opportunities
• Escalate personnel issues to the Manager of EDI Success as needed
• Take on additional responsibilities to achieve team and company objectives
• Report to the Manager of EDI Success

Requirements:

• 2–5 years of hands-on experience with healthcare Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA)
• Working knowledge of ANSI X12 transactions, including 837 claims, 835 remittances, 277 claim status, and 999 acknowledgments, with the ability to read raw files and pinpoint why a claim or file was rejected
• Proven experience completing provider EDI and ERA enrollments with payers, including troubleshooting enrollments that stall or get denied
• Proven people-leadership instincts: able to build trust-based relationships, delegate effectively, and lead team meetings to educate on process and product
• Demonstrated track record of proactively identifying issues and driving solutions without waiting for direction
• Highly proficient in written and verbal communication skills, comfortable navigating difficult conversations internally and externally and communicating across teams
• Ability to work in a fast-paced, dynamic environment, work outside normal working hours when needed, juggle multiple projects, shift gears quickly, meet deadlines, and own workload with professional composure
• Proficient in Word, Excel, PowerPoint, Google Workspace, and Slack
• Growth mindset and desire to continually improve people-leading skills
• Ability to pause, reflect, and circle back to internal teammates when tense situations arise or when unsure of an answer
• Ability to communicate to leadership for assistance when needed
• Comfortable owning own workload
• Experience at a clearinghouse, revenue cycle management company, or healthcare billing software company (nice to have)
• Background in outpatient rehab (PT, OT, SLP) or chiropractic billing (nice to have)
• Experience building or documenting team processes, playbooks, or training materials (nice to have)
• Familiarity with clearinghouse portals and payer enrollment platforms (nice to have)
• Experience leading a team through rapid growth or organizational change (nice to have)
• Legally authorized to work in the United States
• Physically located in the United States
• Must not be a current Prompt Customer or employed by one unless the customer's explicit consent has been obtained

Benefits:

• Competitive salaries
• Remote/hybrid environment
• Potential equity compensation for outstanding performance
• Flexible PTO
• Company-wide sponsored lunches
• Company paid disability and life insurance benefits
• Company paid family and medical leave
• Medical, dental, and vision insurance benefits
• Discounted pet insurance
• FSA/DCA and commuter benefits
• 401k
• Complimentary subscription to digital fitness classes and wellness content
• Recovery suite at HQ – includes a cold plunge, sauna, and shower