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:
o Process, data entry, and file maintenance of enrollment, assessment, and dis-enrollment documentation. 
o Monitor, compile, and maintain accurate enrollment records
o 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