EDI Team Lead

Prompt Health; United States; Hybrid; USD 65,000 - 80,000; Full time

Benefits offered by this job

Remote/hybrid environment

Equity compensation potential

Flexible PTO

Medical, dental, vision insurance

Job summary

Prompt Therapy Solutions, Inc seeks an EDI Team Lead to manage a team of EDI Analysts and drive EDI/ERA initiatives within our healthcare platform. You will report to the Manager of EDI Success and blend people leadership with individual contributor responsibilities as we scale.

This role requires hands-on EDI/ERA expertise, strong communication, and the ability to coach teams through complex enrollment and transaction scenarios in a fast-paced, hybrid work setting.

Qualifications

• 2–5 years of hands-on experience with healthcare EDI and ERA.
• Proven experience with ANSI X12 transactions (837, 835, 277, 999).
• Experience enrolling providers in EDI/ERA with payers and troubleshooting denials.

Responsibilities

• Interview, hire and onboard new EDI Analysts with onboarding team.
• Provide weekly feedback and coaching to direct reports; monitor performance.
• Identify process improvements and surface trends for leadership.
• Own end-to-end EDI relationship management for assigned accounts; lead kickoff meetings.
• Join customer meetings to coach on communication and product knowledge.
• Escalate and resolve complex client EDI/ERA issues with guidance to team.

Skills

EDI ERA expertise

People leadership

Effective communication

Process improvement

Cross-functional teamwork

Tools

Word

Excel

PowerPoint

Google Workspace

Slack

Job description

Job Title: EDI Team Lead

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 Team Lead to help lead some of our EDI Analysts as we continue to scale our Success team!

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 Team Lead to help lead some of our EDI Analysts as we continue to scale our Success team!

The Role:

Prompt has an industry-leading Success team. We are looking for a process focused, highly motivated teammate to help manage the EDI team! You will report to the Manager of EDI Success. This role poses an opportunity to work in a hybrid people manager/individual contributor role while Prompt continues to scale!

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 :)

Key Responsibilities:

• Interview, hire and onboard new EDI Analysts partnering with our internal onboarding team
• Connect with your direct reports weekly related to any support they need with current customers or any operational blockers; regularly monitor and evaluate team performance, providing feedback and coaching.
• Proactively Identify areas for process improvement and surface trends and recurring pain points as well as recommendations to senior leadership.
• Own end-to-end EDI relationship management for your assigned book of accounts, leading customer kick off meetings for deals that are assigned to you and delegating to your team as needed for assistance
• Join customer meetings with your direct reports in order to coach on communication and product knowledge
• Serve as the primary escalation point for complex or sensitive client EDI/ERA issues, resolving them directly when stakes require it and coaching your team to build the judgement to own similar situations independently over time
• Provide ongoing training, coaching, mentorship and performance reviews for your direct reports partnering with the Manager of EDI Success as needed.
• Support the rollout of new EDI workflows, tools and processes, ensuring your team is prepared to guide customers through changes.
• Collaborate with BSM and CSM teams to review trends and cross-functional escalations.
• Provide leadership to your direct reports related to coaching in product functionality, or delegate teaching opportunities to team members with the appropriate expertise
• Escalate personnel issues as needed to the Manager of EDI Success
• Take on additional responsibilities as needed, demonstrating flexibility and a proactive approach to achieving team and company objectives.

Minimum 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
• Must be highly proficient in both written and verbal communication skills, comfortable navigating difficult conversations both internally and externally and communicating effectively across teams
• Highly motivated to work in a fast paced, dynamic environment where you will need to work outside normal working hours at times, able to juggle multiple projects, shift gears quickly, meet deadlines, and own your workload with professional composure
• Proficient skills in Word, Excel, PowerPoint, Google Workspace, Slack with genuine enthusiasm for learning new software
• Possess a growth mindset - desire to continually improve your people leading skills
• Demonstrate ability to pause, reflect, and circle back to internal teammates when a tense situation arises or when you are not sure of an answer
• Communicate to leadership for assistance when needed
• Be comfortable owning your own workload

Nice to Have:

• Experience at a clearinghouse, revenue cycle management company, or healthcare billing software company
• Background in outpatient rehab (PT, OT, SLP) or chiropractic billing
• Experience building or documenting team processes, playbooks, or training materials
• Familiarity with clearinghouse portals and payer enrollment platforms
• Experience leading a team through rapid growth or organizational change

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.

Prompt Therapy Solutions, Inc is an E-Verify Employer.

Compensation Range: $65K - $80K