Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals.
Ensure providers are enrolled for electronic claim submission.
Handle enrollment, re-enrollment, and re-validation processes for providers and locations.
Data Management:
Process, data entry, and file maintenance of enrollment, assessment, and dis-enrollment documentation.
Monitor, compile, and maintain accurate enrollment records
Payer portal creation and Maintaince
May also prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers.
Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events.
Requirements: -Graduate AR experience -1 -2 years RCM EXP- 1-2 years