Electronic Remittance Advice Specialist, Accounts Receivable
Heartland Dental, Effingham, IL, United States
Overview
Electronic Remittance Advice (ERA) Specialist to assist the accounts receivable (AR) team and dental offices with ERA processing, error resolutions, and process improvements related to ERA claim payments. The ERA Specialist will work with AR, Payor Relations, and dental offices and their administrators on all areas related to the ERA process.
Responsibilities
Ensure timely posting of ERAs during the enrollment transition period for offices.
Provide clear communication regarding timelines of when offices will take ownership of individual payor ERAs.
Provide support and customer service to office teams on all aspects of ERA posting.
Manage ERA exceptions that are routed to a central parent account.
Provide feedback and analysis for technical solution improvements.
Stay abreast of current health plan and agency requirements for ERA participation.
Communicate appropriately with all departments involved regarding ERA payments for providers and practices.
Develop working relationships with Offices, Field Administrators, Operations and Support Office teams to resolve blocking billing issues or denials related to ERAs and promote optimal reimbursement that results in efficiencies in the Business Assistant duties.
Maintain confidentiality of provider information.
Other projects as assigned.
Minimum Requirements
ERA and EFT knowledge
Complete understanding of dental reimbursement and terminology
Ability to deal effectively with challenging situations
Strong customer service skills
Strong interpersonal, oral (including telephone) and written communication skills
Ability to manage multiple streams of work simultaneously using planning, organization, multi-tasking, and prioritization to meet deadlines
Working knowledge of MS Office (Word, Excel)
Working knowledge of CAQH, Availity, and dental payors
Strong organizational skills, accuracy and attention to detail
Desirable Qualifications
Minimum 2 years of experience handling and processing dental claims
Working knowledge of CAQH, Availity, and dental payors
Physical Requirements
Ability to perform essential duties satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position
Prolonged periods sitting at a desk and working on a computer
Must be able to lift up to 15 pounds occasionally
We provide equal opportunity in employment and comply with applicable laws. Company reserves the right to change duties of the position at any time.
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Electronic Remittance Advice (ERA) Specialist to assist the accounts receivable (AR) team and dental offices with ERA processing, error resolutions, and process improvements related to ERA claim payments. The ERA Specialist will work with AR, Payor Relations, and dental offices and their administrators on all areas related to the ERA process.
Responsibilities
Ensure timely posting of ERAs during the enrollment transition period for offices.
Provide clear communication regarding timelines of when offices will take ownership of individual payor ERAs.
Provide support and customer service to office teams on all aspects of ERA posting.
Manage ERA exceptions that are routed to a central parent account.
Provide feedback and analysis for technical solution improvements.
Stay abreast of current health plan and agency requirements for ERA participation.
Communicate appropriately with all departments involved regarding ERA payments for providers and practices.
Develop working relationships with Offices, Field Administrators, Operations and Support Office teams to resolve blocking billing issues or denials related to ERAs and promote optimal reimbursement that results in efficiencies in the Business Assistant duties.
Maintain confidentiality of provider information.
Other projects as assigned.
Minimum Requirements
ERA and EFT knowledge
Complete understanding of dental reimbursement and terminology
Ability to deal effectively with challenging situations
Strong customer service skills
Strong interpersonal, oral (including telephone) and written communication skills
Ability to manage multiple streams of work simultaneously using planning, organization, multi-tasking, and prioritization to meet deadlines
Working knowledge of MS Office (Word, Excel)
Working knowledge of CAQH, Availity, and dental payors
Strong organizational skills, accuracy and attention to detail
Desirable Qualifications
Minimum 2 years of experience handling and processing dental claims
Working knowledge of CAQH, Availity, and dental payors
Physical Requirements
Ability to perform essential duties satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position
Prolonged periods sitting at a desk and working on a computer
Must be able to lift up to 15 pounds occasionally
We provide equal opportunity in employment and comply with applicable laws. Company reserves the right to change duties of the position at any time.
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