EDI Enrollments Specialist
EDI Enrollments Specialist
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Job Description
Welcome to Ovation Healthcare!
At Ovation Healthcare (formerly QHR Health) weve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcares vision is to be a dynamic integrated professional services company delivering innovative and executable solutions through experience and thought leadership while valuing trust respect and customer focused behavior.
Were looking for talented motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcares corporateheadquartersis located in Brentwood TN. For more information visit.
Summary:
As an Specialist ERA/EFT Enrollments your role is to maintain an automated process for receiving payments and Explanation of Benefits from the payers and ensuring that all payers have the current billing and payment information on file. During this process we also ensure that we receive any EOBs necessary to process paymentsreceived.
Duties& Responsibilities:
ERA and EFT Enrollments
Review all payments being received to identify all payers that EDI ERA and EFT can be processed through our clearinghouse create the enrollments and follow up on approval of enrollments.
Communicate with our clearinghouse on any enrollment issues.
Billing and Payment Maintenance
Maintain all billing and payment information for payers by reviewing all data and documents received from payers and identify any updates that need to be made.
We process any updates that we identify by completing the payers instruction for updating the information and follow up on the completion.
EOB Retrieval
Support the payments department by contacting any payer to obtain copies of EOBs that we have not received.
Any payments identified needing additional information or copy of EOB we contact the payer to have reprocessed to us.
Work Experience Education and Certifications:
High school diploma or equivalent; an associates degree in healthcare administration orrelated field is a plus.
1-2 years of experience in a healthcare related role
Working Conditions and Physical Requirements:
Remote work from home
Travel Requirements:
No Travel
Required Experience:
Unclear Seniority
Employment Type
Full-Time
