[Hiring] Enrollment Specialist @Ensemble Health Partners

Role Description

The EDI – EFT & ERA Enrollment of Cash Application performs all enrollment activities across Ensemble Health Partners which includes hospital and physician locations. The EDI – EFT & ERA Enrollment Specialist is responsible for the timely and accurate enrollment processing within multiple Clearinghouses for both client and payer for the EDI related file processing. Job duties include, but are not limited to:

• Submitting enrollment applications through the clearinghouses.
• Utilizing payer portals for EDI related maintenance.
• Working with other departments within Ensemble to keep up-to-date client W9’s & Bank letters.
• Connection set up between the client and their clearinghouse.
• Verifying all files are being transferred correctly and available for electronic processing by the Ensemble cash teams.

Essential Job Functions:

• Responsible for driving the Ensemble culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal contacts.
• Develops and maintains positive relationships through effective and timely communication.
• Takes initiative and action to respond, resolve and follow up regarding issues with all customers in a timely manner.
• Maintain multiple payer portals for each client to ensure timely enrollment of EFT’s (Electronic Funds Transfers) to the validated client bank account.
• Maintain multiple payer site set ups for each client to ensure timely enrollment for ERA delivery to correct client clearinghouse.
• Accuracy of information when completing all submitted enrollment forms that contain client banking data.
• Utilizing & maintaining multiple client EFT & ERA set ups for multiple payer websites.
• Work from multiple client clearinghouses.
• Maintain Administrative access to client related information according to Ensemble’s Compliance standards as well as federal guidelines.
• Enrollment submission follow up.
• Meeting Productivity and Quality.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Qualifications

• 3 to 5 years of Healthcare Cash Posting, Medical Office, Insurance, or Billing background preferred.
• Previous EFT – (Electronic Funds Transfer), ERA – (Electronic Remittance Advice)/835, EDI – (Electronic Data Interchange) experience is required.
• Must have advanced knowledge and experience with Excel (possessing the ability to use spreadsheets, graphing, tables, calculations, and automation efficiently to process large quantities of data relevant to business tasks).
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Requirements

• Associates degree or equivalent experience preferred but not required.

Benefits

• Bonus Incentives.
• Paid Certifications.
• Tuition Reimbursement.
• Comprehensive Benefits.
• Career Advancement.
• This position pays between $16.50 - $18.65/hr. based on experience.
• **REMOTE Opportunity**.