Support the enrollment process by initiating, monitoring, and maintaining enrollment requirements set forth by payers, payer intermediaries, and clearinghouses regarding electronic remittance advice (ERA). This may include the following duties:
o Staying abreast of payer mergers and acquisitions impacting enrollment
o Working with clearinghouse partners and third-party intermediaries to complete, submit, monitor, and maintain ERA enrollment activities
o Troubleshooting and escalation of issues with AdventHealth leadership and vendors
Support the enrollment process by initiating, monitoring, and maintaining enrollment requirements regarding electronic funds transfers (EFT). This may include the following duties:
o Analyze and evaluate bank lockbox activity for direct EFT opportunities
o Research and acquisition of supporting documentation, form completion, and signatures
o Identifying payers funding thru alternative payment methods (e.g. virtual credit cards) and convert to preferred ACH payment method.
o Research global billing errors impacting payment with facility patient finance leadership
o Maintain a general understanding of payer electronic data interchange (EDI) requirements as it relates to claims adjudication
Achieve and maintain performance consistent with requirements for productivity, quality, and service levels
Develop and maintain productive team-oriented relationships through individual contacts and group meetings
The Reconciliation Services department helps ensure that assigned cash and accounts receivable accounts are properly stated by preparing periodic reconciliations. The scope of the department also includes performing reconciliation processes prior to and subsequent to the posting of insurance remittances to patient accounts. The Enrollment Specialist position will be responsible for identifying and enrolling all eligible insurance payers for electronic remittance advice (ERA) and electronic funds transfer (EFT).
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.