Edi Enrollment Specialist Jobs

POSITION SUMMARY:

The Enrollment Specialist will be responsible for portal setup, EFT and Waystar enrollment. This individual will support the Cash Application Manager and Billing Director with setup in various portals and Waystar.

RESPONSIBILITIES:

• Maintain multiple payer portals to ensure timely enrollment of EFT’s (Electronic Funds Transfers) to validated bank accounts.
• Prioritize multiple tasks and projects under aggressive time constraints.
• Facilitate resolution of payer approvals and denials
• Accuracy of information when completing all submitted enrollment forms that contain account banking data.
• Perform other duties and/or projects as assigned by Management within the area of responsibility and control.
• Maintain multiple payer site set ups for each account to ensure timely enrollment for ERA delivery to correct account clearinghouse.
• Track and inform direct supervisor of all ongoing missing information issues, especially pre-certs and verifications or claim errors.
• Utilizing and maintaining multiple account EFT & ERA setups for multiple payer websites.
• Manage the Employee Access Sheet by updating passwords and access to portals.
• Follow up with missing EOBs when an EFT is received and ensuring that the account is set up for future EFTs.
• Track and follow up with payer’s intermediaries to ensure timely completion of all enrollments.
• In depth knowledge and understanding of the entire enrollment process
• Facilitate enrollment of EFTs ERAs in addition to portal access

The successful candidate will possess a combination of relevant employment, educational, and life experience that demonstrates the ability to do the job. They will be comfortable balancing tasks of varying levels of urgency and complexity and work well under pressure with tight deadlines and standard procedures.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their manager, subject to reasonable accommodation.

JOB REQUIREMENTS:

Education: High school diploma or equivalent required, bachelor's degree preferred

Experience:

• IOM experience is a plus.
• Knowledge of patient billing terminology and collections.
• High level of knowledge on reimbursement guidelines as it pertains to an explanation of benefits.
• 1-2 years Prior experience in medical billing and insurance follow up reimbursement preferred.
• 1-2 years of experience posting insurance payments in a healthcare setting preferred.
• 1 year working knowledge of CPT and ICD-10 CM codes and electronic claim filing.

Skills:

• Strong attention to detail, providing feedback when necessary.
• Ability to stay organized and complete tasks in a timely manner.
• Basic typing and 10-key skills are a must.
• Ability to work independently and interact well within a team environment.
• Microsoft 365 applications (Outlook, Teams, Word, Excel)
• Analytical skills experience and sound judgment to make decisions.

WORKING CONDITIONS

Working conditions are normal for an office environment.

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