ERA/EFT Enrollment Specialist

Find your purpose as an ERA (Electronic Admittance Advice)/EFT (Electronic Funds Transfer) Enrollment Specialist with CentraCare! The ERA/EFT Specialist is responsible for completing and managing all EFT/ERA enrollments submissions for payers and the clearinghouse. The role collaborates with the Epic Build Team to ensure timely submission, troubleshoot issues, and support system-related updates. The Specialist also partners with Finance and Treasury to provide required banking information for enrollments and assists with setting up Corporate ACH/EFT Accounts when needed. The position participates in DCAT and Payer/Plan meetings to provide updates and address questions related to the ERA/EFT set-ups. The position requires a strong understanding of healthcare regulations, payer requirements and electronic transaction standards and keeps up to date on any changes coming from payers related to EFT/ERA Enrollments. The Specialist ensures accuracy, detailed information and compliance with Corporate Policies, including Corporate Compliance and HIPAA.

Schedule:

• Part-time 40 hours every 2 weeks
• Hours between Mon-Fri 8a-4:30p
• Possible work from home options after in-office training

Pay and Benefits:

• Starting pay begins at $20.90 per hour; exact wage determined by years of related experience
  • Pay range: $20.71- $31.68 per hour
• Tuition reimbursement and college grant programs available
• Part-time benefits: medical, dental, PTO, retirement, employee discounts and more!

Qualifications:

• High school diploma; Minimum of associate’s degree in business or healthcare preferred.
• Minimum of 2 years’ experience with Clearinghouse Enrollments & Payer Enrollment requirements.
• Minimum of 2 years previous experience in healthcare billing, cash posting and/or coding desired.
• Knowledge of general accounting principles required.
• Basic communication skills and customer relations principles.
• Ability to prioritize and complete tasks in a timely manner with attention to detail and accuracy.
• Ability to multi-task and be a self-starter.
• Minimum of 2 years’ experience with use of Microsoft Office applications and related healthcare systems and software preferred.
• Minimum of 2 years’ experience in healthcare accounts receivable preferred.
• Knowledge of healthcare billing and third-party payer requirements preferred.

Core Functions:

• Collect, verify and maintain all required documentation for enrollment processes, including provider - agreements, enrollment forms, approval responses, work with CentraCare Treasury related to banking information needed for enrollments and follow-up as necessary. Proficient in using the Clearinghouse and Payer Portals related to EDI Transactions.
• Complete EFT & ERA Enrollments with payers, the clearinghouse, and other healthcare platforms in a timely manner, ensuring appropriate follow-up and through resolution. Communicates enrollment status and changes to affected Teams.
• Monitor and implement updates required by payers, regulatory entities, and internal departments related to EFT and ERA Enrollment process. Review payer bulletins to ensure we are not missing necessary items for the process.
• Serves as the primary contact for the ERA/EFT Enrollments inquiries for the organization and ensures prompt and accurate issue resolution.
• Achieves goals and standards established with Leadership.
• Maintains and updates enrollment database to ensure accuracy, timeliness and regulatory compliance.
• Adhere to HIPAA regulations and organization privacy/confidentiality policies.
• Participates in relevant seminars and education programs addressing payer changes and updated guidelines.
• Complete assigned education within allotted time frame.
• Collaborate with the SR AR/Credit Assistant and AR /Credit Balance Educator & QA Assistant on education related to ERA/EFT process.
• Assists with projects within the team as it relates to Audits, Training, etc.

CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.