1 - 5 years

0 Lacs

Posted:2 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Job Description: You will be responsible for EDI/ERA Enrollment, ensuring providers are enrolled for electronic claim submission. This includes handling enrollment, re-enrollment, and re-validation processes for providers and locations. Additionally, you will manage data by processing, entering, and maintaining enrollment, assessment, and dis-enrollment documentation. You will also monitor, compile, and maintain accurate enrollment records, verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events. Key Responsibilities: - Ensure providers are enrolled for electronic claim submission - Handle enrollment, re-enrollment, and re-validation processes - Process, data entry, and file maintenance of enrollment documentation - Monitor, compile, and maintain accurate enrollment records - Verify enrollment status, make changes to membership records - Research and resolve enrollment system discrepancies - Process membership terminations and other enrollment events Qualifications Required: - Graduate - 1-2 years of AR experience - 1-2 years of RCM experience,

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