EDI Experience Manager (B2B SaaS)

Prompt Health; United States; On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Remote/hybrid environment

Competitive salaries

Equity potential

Flexible PTO

Health insurance

401k

Wellness benefits

Paid family leave

Job summary

Prompt Health is seeking an EDI Experience Manager to bridge technical EDI/enrollment nuances with high‑efficiency workflows. You will translate complex findings into clear client guidance, support live client conversations, and liaise between customers and our engineering team.

In this fast‑paced role, you’ll optimize EDI support workflows, manage queues, and grow fluency in EDI/X12 while partnering with the CX team to deliver exceptional service.

Qualifications

• Experience as a Rehab Clinician or similar role is required.

Responsibilities

• Provide chat/email support to business owners and billing teams, escalating complex issues.
• Serve as champion for customers via the EDI help desk, guiding on Clearinghouse rejections, EDI Rules, ERA/EDI help.
• Drive customer satisfaction by understanding evolving needs and delivering value in each ticket.
• Represent EDI topics in onboarding and client meetings as needed.
• Develop deep understanding of RCM/Clearinghouse capabilities to respond to inquiries.
• Grow EDI/Enrollment knowledge over time to enable technical ownership.
• Assist in updating internal/external EDI knowledge bases.
• Establish and optimize EDI workflows to scale support.
• Audit processes to identify AI-enabled improvement opportunities.
• Support EDI engineering ticket creation, review, and prioritization.
• Take on additional tasks to support team goals.

Skills

MS Excel

Analytical mindset

Troubleshooting

Written and verbal communication

Self‑motivated / proactive

Adaptability

EDI fluency (learn on the job)

Education

Rehab Clinician background (SLP/OT/PT/COTA/PTA)

Tools

Zendesk or similar

EMR/CRM systems knowledge

Job description

Job Title: EDI Experience Manager (B2B SaaS)

Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. As the fastest growing company in the therapy EMR space and the new standard in healthcare technology, we’re looking to bring on an EDI Experience Manager.

This role is an unprecedented opportunity to have an immense impact on our industry leading Client Success Team that ranks 40 Net Promoter Score points higher than our competition (in other words, people love Prompt). We’re looking for someone scrappy, willing to bring new ideas, take on big challenges, and is into doubling down on what works.

We’re doing something special here and this role will be critical in taking Prompt to the next level.

Why work for Prompt?

• BIG Challenges: Here at Prompt, we are solving complex and unique problems that have plagued the healthcare industry since the dawn of time.
• Talented People: Prompt didn't happen by chance, it's a team of incredibly talented and proven individuals who all made their mark before joining forces to build the greatest software on the planet for rehab therapists.
• Healthy Approach: This isn't an investment bank, we work long hours when it's needed, but at Prompt you own your workload and the entire organization takes a liking to smart work (over hard work).
• Positive Impact: Prompt helps outpatient rehab organizations treat more patients and deliver better care with less environmental waste. That means less surgery and less narcotic-based pain treatment, all while turning a paper-heavy industry digital. We aren't enthralled with patting ourselves on the back everyday, but it does feel good :)

The Role:

Our expectation of this role is that you will bridge the gap between technical EDI/Enrollment nuances and the design of high-efficiency workflows that optimize our service delivery. This involves developing a deep understanding of EDI and Enrollments while streamlining internal processes to ensure our support engine runs efficiently. You will translate complex technical findings into clear client guidance, represent that guidance in live client conversations when needed, and assist in liaising between the customer and our engineering team. Because this role blends direct client support with growing technical ownership, expect the balance of hands‑on ticket work versus client-facing time to shift as you build EDI fluency.

Additionally, you will focus on optimizing EDI support workflows, establishing the processes and structures needed to keep the queue highly managed and scalable as we grow. You'll spend your first 60–90 days building EDI/X12 fluency alongside live ticket queues - expect a steep learning curve balanced with structured support from the team. You will report to the Senior Manager of CX, EDI, EDU, and SMB/MM BSM. You’ll quickly establish yourself as a key contributor within 3 months. To do this, you’ll need to know a few things...

Key Responsibilities:

• Independently support business owners and billing teams via chat/email, escalating complex technical issues as your fluency grows
• Be each customer's champion by providing ongoing support via the EDI help desk platform, helping them find solutions to their inquiries (Clearinghouse rejections, EDI Rules, ERA/EDI Application Help, etc)
• Promote customer satisfaction and loyalty by understanding each customer's unique (and evolving) needs, delivering value, and exceeding expectations in each support ticket
• Represent EDI/Enrollment topics directly to clients in scheduled onboarding meetings and ad hoc meetings as appropriate
• Develop and maintain a deep understanding of our RCM/Clearinghouse capabilities to effectively respond to incoming customer inquiries across our single-channel support system
• Build genuine EDI/Enrollment subject-matter depth over time as this role is expected to grow into more technical ownership
• Support development and update of the internal and external EDI knowledge base to help scale our help desk support
• Learn, adopt, establish processes and workflows that allow the EDI team to run like a well oiled machine
• Audit existing processes to proactively identify opportunities to use AI to accelerate EDI processes and workflows
• Support EDI engineering ticket creation, review and prioritization
• Take on tasks beyond the defined job responsibilities as required, demonstrating adaptability and a willingness to contribute to various aspects of the team's goals

Minimum Requirements:

• Experience as a Rehab Clinician, such as SLP, OT, PT, COTA, or PTA
• Willingness to build technical fluency in EDI file formats and enrollment mechanics over time
• Must have a highly analytical mindset and with superior ability to troubleshoot/test use cases and issues in software
• Proactive, self-motivated and ability to use resources available to learn quickly and autonomously
• Experienced in thriving within dynamic work settings that demand adaptability and efficiency
• Proven ability to handle multiple projects, shift gears quickly, and meet deadlines while maintaining professional composure.
• Ready to embrace a fast-paced environment, with occasional requirements to work beyond standard hours
• Passionate about establishing processes
• Highly Proficient in MS Excel
• Exceptional written and verbal communication skills
• No prior EDI/Enrollment experience required; comprehensive training will be provided.

Preferred (Nice-to-have) Qualifications

• Prior startup and/or B2B SaaS technology organization experience
• Experience in any function of clinical development or medical billing operations (clinical operations, data management, biostatistics, system management, information management, medical monitoring, RCM follow up, claim review and submission, etc.)
• Proven ability to handle multiple projects, shift gears quickly, and meet deadlines while maintaining professional composure
• Able to communicate effectively across teams
• Understanding and learning software must be a passion of yours
• Highly motivated to work in a fast paced, dynamic environment where you will need to work outside normal working hours at times
• Be comfortable owning your own workload
• Experience with Zendesk or similar customer support software
• Knowledge of e-clinical systems and technologies (e.g. EMR, RTM, HEP, CRM, HIEs, etc)

Perks - What you can expect:

• 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

Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer's explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees. We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don't hesitate to reach out to our People Department.

Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employees.