Enrollment Specialist

Responsibilities

• EDI / ERA Enrollment :
• Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals.
• Ensure providers are enrolled for electronic claim submission.
• Handle enrollment, re-enrollment, and re-validation processes for providers and locations.
• Data Management :
• Process, data entry, and file maintenance of enrollment, assessment, and dis-enrollment documentation.
• Monitor, compile, and maintain accurate enrollment records
• Payer portal creation and Maintaince
• May also prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers.
• Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events.

Requirements

AR experience -1 -2 years

RCM EXP- 1-2 years

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