Enrollment Specialist

MedAmericaSacramento, CA
3h$23 - $29Remote

About The Position

Support the Reimbursement and Application Support departments by completing research, enrollment, and monitoring submission for follow up to convert payments and explanation of benefits to electronic funds transfer (EFT) and electronic remittance advice (ERA). Maintain a detailed record of submissions, status of enrollments, and effective dates. Support Reimbursement by acting as a liaison between internal and external partners by participating in meetings, conference calls, contacting payers via phone, email, and website portals. Maintain Administrative access to website portals for enrollments, access to explanation of benefits (EOB), and electronic remittance advice (ERA). Collaborate with Client Service Managers on enrollment for new TIN/Site start-up. Utilize Vituity’s various systems to monitor incoming electronic remittance files. Identify missing remittances and work with Application Support and clearinghouse to resolve issues. Collaborate with Reimbursement Leadership to identify and resolve file issues

Requirements

  • 2+ years of healthcare billing experience required.
  • Thorough understanding of RCM billing and reimbursement operations required.
  • Demonstrate critical thinking, problem-solving and analytical skills
  • Demonstrate excellent customer service skills, by establishing and maintaining relationships, act as a liaison between internal and external colleagues, partners and vendors.
  • Strong verbal and written communication skills.
  • Must have strong organizational and time management skills.
  • Ability to use multiple Vituity systems and understand their connections and impact
  • Computer skills including Microsoft Suite, with intermediate Excel knowledge.
  • Ability to analyze new or ambiguous information, define the issue or problem, and propose a solution.
  • Ability to effectively prioritize work and execute while under pressure.
  • Ability to manage multiple tasks in a fast-paced environment.
  • Highly self-motivated and directed, working in a remote environment.
  • Must be able to work independently and follow through on assignments with minimal supervision.

Nice To Haves

  • Associate degree in Business, or related field preferred.
  • Experience in project Management preferred.
  • Knowledge of working with a clearinghouse, claims billing, electronic remittance files preferred.

Responsibilities

  • Completing research, enrollment, and monitoring submission for follow up to convert payments and explanation of benefits to electronic funds transfer (EFT) and electronic remittance advice (ERA).
  • Maintain a detailed record of submissions, status of enrollments, and effective dates.
  • Acting as a liaison between internal and external partners by participating in meetings, conference calls, contacting payers via phone, email, and website portals.
  • Maintain Administrative access to website portals for enrollments, access to explanation of benefits (EOB), and electronic remittance advice (ERA).
  • Collaborate with Client Service Managers on enrollment for new TIN/Site start-up.
  • Utilize Vituity’s various systems to monitor incoming electronic remittance files.
  • Identify missing remittances and work with Application Support and clearinghouse to resolve issues.
  • Collaborate with Reimbursement Leadership to identify and resolve file issues

Benefits

  • Superior health plan options
  • Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
  • Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25
  • Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical
  • Student Loan Refinancing Discounts
  • Professional and Career Development Program
  • EAP, travel assistance, and identify theft included
  • Wellness program
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