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
