Enrollment Specialist

1 - 2 years

0 Lacs

Posted:2 days ago| Platform: GlassDoor logo

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Work Mode

On-site

Job Type

Part Time

Job Description

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:
  • Graduate
AR experience -1 -2 years
RCM EXP- 1-2 years

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