Medical Billing Service ERA Enrollment SME/TL - Work From Home - Remote

Overview

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time RCM Credentialing and ERA Enrollment SME. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead.

In Short

• Complete provider enrollments with Medicare / Medicaid and all Private Payers.
• Perfect provider experience and achieve the shortest turnaround time.
• Perform complete payer network research, verify provider’s credentials, and provide accurate timelines and open panel availability.
• Send clients a complete checklist of all the documents required to file the ERA enrollment applications.
• Build Quality Assurance processes for a flawless enrollment submission.
• Perform appeals for closed panels.
• Complete out of network enrollments and NPI registrations on the payer’s website.
• Follow-up regularly and frequently on enrollment application status.
• Set up and maintain CAQH / PECOS.
• Maintain all provider-payer data for the best reimbursement performance.

Requirements

• Five years experience in US-based AR follow-up, Insurance and benefits verification with hands-on experience in ERA Enrollment.
• Familiar with US medical insurance industry and insurance claims processing requirements.
• Experience of closely working with various clearing houses and Medical softwares.
• Understand CMS-1500 and UB-04 claim formats.
• Experience in handling Chiropractic and Physical Therapy is an added advantage.
• Excellent listening, communication, and problem-solving skills.
• Self-motivated and able to work autonomously.
• Strong interpersonal and communication skills.
• College degree in a reputed institution.

Benefits

• High comfort level working on Eastern Time Zone/US Shift.
• Good internet access at home.
• Mobile Hotspot.
• Laptop/Desktop of at least 8 GB.