Supported Practice: Heartland Dental
Category: Accounting and Finance (Admin)
Salary: $20.43 - $21.00 per hour
Remote
Position Summary:
Electronic Remittance Advice Enrollment Specialist, Accounts Receivables
As an Electronic Remittance Advice (ERA) Enrollment Specialist, you will assist the accounts receivable team with the initial applications for ERA enrollment, maintaining accurate and current provider enrollment data, updating rosters with payers and health plan directories. Assist in enrollment issues as they relate to ERA payer enrollment and claims payments. The ERA Enrollment Specialist will work closely with AR, Credentialing, and Payor Relations teams to collect all items needed to obtain and maintain ERA payer participation.
With more than 1,000 dental offices supported across 39 states, over 20,000 team members and over 1,800 supported doctors in our support, Heartland Dental has a proven track record of growth and success. We’re looking for professional individuals who are open, positive and mentally flexible to join our network of support.
Below is an overview of the duties and responsibilities you would take on in this role:
- Manage the completion, submission of provider enrollment applications for ERA’s and EFT’s. through CAQH and Healthcare Exchange
- Track current status of applications, follow up as necessary and document activity in an accurate and timely manner
- Prepare the CAQH for newly affiliated and existing providers for payers.
- Research and resolve provider related enrollment issues and coordinate with team members of various departments when applicable
- Maintains confidentiality of provider information.
- Stays abreast of current health plan and agency requirements for ERA participation.
- Communicates appropriately with all departments involved regarding ERA enrollment for providers and practices with government and commercial insurance payers.
- Follow up with necessary contacts, including providers and managed care organizations, to resolve enrollment application issues and deficiencies
- Serve as a liaison between payor enrollments/ credentialing, revenue management and AR teams to resolve any billing issues/ denials related to provider enrollment and promote optimal reimbursement.
Minimum Requirements:
- 2+ years' experience in provider enrollments, cash posting, and CAQH.
- Proficiency in navigating provider portals and Availity.
- Familiarity with dental practice management software (preferably Dentrix) and Microsoft Office applications (MS Office, Word, Excel).
- Payer Credentialing Experience.
- ERA and EFT knowledge
- Ability to deal effectively with challenging situations
- Great customer service skills.
- Strong interpersonal, oral (includes telephone skills) and written communication skills.
- Ability to manage multiple streams of work simultaneously using good planning, organization, multi-tasking, and prioritization in order to meet deadlines.
- Complete understanding of dental reimbursement and terminology.
We put our people first at Heartland Dental, and that shows in our generous benefits package.
Company retains the sole discretion to change the duties of the position at any time.
