Specialist

Position Overview : Reporting to the Cash Applications Manager, the EFT / ERA Specialist is responsible for completing all EFT / ERA enrollment submissions for the appropriate payors, providing payor portal access to the appropriate entities, and updating remit and demographic information for all clients in the Central Billing Office.

They will also provide excellent customer service to both internal and external customers.

Responsibilities :

• Identifies and submits, ERA and EFT enrollment to all carriers.
• Build solid relationships with clients and payers and act as a liaison between client and the payer through the entire enrollment process.
• Resolves issues related to payment misrouting through discovery and research.
• Maintains and update remit address changes with government and commercial payers weekly, monthly or quarterly.
• Acquire payer documentation and forms necessary for enrollment.
• Assist with the scanning and upkeep of all enrollment documentation.
• Manage payer website logins, grant new access, deactivate access and provide password resets.
• Assist with maintenance of provider portal databases to ensure accurate demographics for all practices.
• Assist with creation and maintenance of tracking sheets.
• Provide W9’s and ensures contracted payers receive updated information as needed.
• Diligently follow-up on all enrollments until completion.
• Requesting pertinent information from other departments for enrollment purposes.
• Passionately support the CBO’s commitment in creating an outstanding experience for all clients.
• Other duties as assigned.

Required Skills

Requirements :

• 2 year of ASC revenue cycle or orthopedic charge entry or collections experience.
• Understand clearinghouse functions.
• Organized, detailed, and able to handle competing priorities while meeting or exceeding deadlines.
• Ability to adapt to increased workload.
• A team player who performs well independently and is strongly self-motivated.
• Ability to understand, analyze and interpret data to make organizational, planning, and problem-solving decisions.
• Must communicate effectively, both verbally and in writing, with internal and external clients.
• Knowledge or experience working with a variety of health care insurance payers is preferred.
• Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
• Advantx, Vision, HST, Waystar experience preferred.
• High School Diploma or equivalent.

Required Experience

Requirements :

• 2 year of ASC revenue cycle or orthopedic charge entry or collections experience.
• Understand clearinghouse functions.
• Organized, detailed, and able to handle competing priorities while meeting or exceeding deadlines.
• Ability to prioritize the most important activities daily in order to maximize time spent on open items.
• Ability to adapt to increased workload.
• A team player who performs well independently and is strongly self-motivated.
• Ability to understand, analyze and interpret data to make organizational, planning, and problem-solving decisions.
• Must communicate effectively, both verbally and in writing, with internal and external clients.
• Knowledge or experience working with a variety of health care insurance payers is preferred.
• Intermediate computer proficiency in Microsoft Office including Excel and Outlook.
• Advantx, Vision, HST, Waystar experience preferred.
• High School Diploma or equivalent.

Last updated : 2024-11-08