Enrollment Specialist
Core
Managing enrollment processes for electronic claims submission (EDI), Electronic Funds Transfer (EFT), and Electronic Remittance Advice (ERA) to ensure timely payment processing for healthcare providers.
Role type
Enrollment Specialist (Healthcare Revenue Cycle)
Builds
Electronic claims and payment data flow between providers, clearinghouses, and payers
Domain
Healthcare Revenue Cycle Management (RCM)
Required skills
EDI enrollment, ERA processing, EFT setup, data entry, payer portal navigation, membership record management
Preferred skills
Basic RCM knowledge, problem-solving, analytical skills
Technologies
Practice Management Systems (PMS), clearinghouse systems, payer portals
Responsibilities
Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals; Process, data entry, and file maintenance of enrollment, assessment, and dis-enrollment documentation; Serve as the primary point of contact for payer and clearinghouse inquiries regarding EDI, EFT, and ERA enrollments
Seniority
Junior, 1-2 years experience