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ERA/EFT Enrollment Specialist

Ovation Healthcare is a leading provider of shared services for independent hospitals, enhancing operational efficiency and quality of patient care.

QHR

Employee count: 201-500

United States only

Senior ERA/EFT Enrollment Specialist

As an ERA/EFT Enrollment Specialist our 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 EOB’s necessary to process payments received. A Senior Specialist will hold 1+ years of seniority. Senior Specialists will also help in the training of new staff members coming into the department.

Duties and 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 payer’s 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 EOB’s that we have not received.
    • Any payments identified needing additional information or copy of EOB we contact the payer to have reprocessed to us.

About the job

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Job type

Full Time

Experience level

Entry-level

Location requirements

Hiring timezones

United States +/- 0 hours

About QHR

Learn more about QHR and their company culture.

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Ovation Healthcare, previously known as QHR Health, has been a crucial partner for independent hospitals and health systems for over 45 years. We specialize in providing shared services designed to enhance operational capabilities while preserving the focus on patient care. Our wealth of experience and innovative solutions enable us to support more than 375 clients across 47 states, from critical access hospitals to larger health systems. Our goal is to improve both financial performance and quality of care while minimizing operational expenses.

We understand that independent healthcare providers face unique challenges in today’s complex environment. Therefore, we offer a comprehensive suite of services, including supply chain management, revenue cycle enhancements, clinical support, and executive advisement. Our commitment to keeping healthcare local is underscored by our focus on delivering tailored solutions that address the specific needs of each partner. With our resources and expertise, we empower independent healthcare providers to thrive in the communities they serve, ensuring they can offer high-quality care that meets the needs of their patients.

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