ERA/EFT Enrollment Specialist

Posted 10 days ago

ovation healthcareBrentwood (TN)

Medical Records Specialists Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

SENIORITY

Senior

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About the role

Senior Era/Eft Enrollment Specialist As an ERA/EFT Enrollment Specialist our role is to maintain an automated process for receiving payments and Explanation of Benefits from the payers and ensuring that all payers have the current billing and payment information on file. During this process we also ensure that we receive any EOB's necessary to process payments received. A Senior Specialist will hold 1+ years of seniority. Senior Specialists will also help in the training of new staff members coming into the department.

Duties And Responsibilities: ERA and EFT Enrollments:

Review all payments being received to identify all payers that EDI, ERA and EFT can be processed through our clearinghouse, create the enrollments, and follow up on approval of enrollments.
Communicate with our clearinghouse on any enrollment issues.
Billing and Payment Maintenance:
Maintain all billing and payment information for payers by reviewing all data and documents received from payers and identify any updates that need to be made.
We process any updates that we identify by completing the payer's instruction for updating the information and follow up on the completion.
EOB Retrieval:
Support the payments department by contacting any payer to obtain copies of EOB's that we have not received.
Any payments identified needing additional information or copy of EOB we contact the payer to have reprocessed to us.

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