ERA/EFT Enrollment Specialist

Experience managing automated receipt of payments and EOBs from payers. Experience ensuring payers have current billing and payment information. Experience obtaining necessary EOBs for payment processing. Experience reviewing payments for EDI, ERA, and EFT processing eligibility. Experience creating and following up on enrollment requests. Experience communicating with clearinghouses to resolve enrollment issues. Experience monitoring payer data for required updates. Experience executing payer-specific procedures for updating billing information. Experience requesting missing EOBs from payers. Experience identifying payments needing additional documentation and coordinating EOB retrieval. Familiarity with security requirements and HIPAA compliance.

Manage automated receipt of payments and Explanations of Benefits (EOBs) from payers. Ensure all payers have current billing and payment information. Obtain necessary EOBs for payment processing. Review incoming payments for EDI, ERA, and EFT processing eligibility. Create and follow up on enrollment requests. Communicate with clearinghouse to resolve enrollment issues. Monitor payer data for required updates. Execute payer-specific procedures for updating billing information. Request missing EOBs from payers. Identify payments needing additional documentation and coordinate EOB retrieval. Uphold security requirements and maintain HIPAA compliance.