Manager - EFT/ERA Enrollment Operations

January 10

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ClinicMind Platform for Full-Cycle Patient Care

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ClinicMind Platform for Full-Cycle Patient Care is a comprehensive healthcare technology provider offering a range of software solutions and services for medical practices. Their offerings include ONC-certified EHR systems, chiropractic software, practice management solutions, billing platforms, credentialing services, and patient engagement tools like patient portals and telehealth options. ClinicMind focuses on streamlining provider documentation, simplifying billing and payment processes, and enhancing the patient experience, helping healthcare practice owners optimize operations, increase revenue, and improve patient satisfaction. The platform provides customizable automation and support to meet the unique needs of single or multi-site practices, ensuring efficient and effective full-cycle patient care management.

EHR • Credentialing • Billing • Practice Management • Patient Portal

201 - 500 employees

⚕️ Healthcare Insurance

☁️ SaaS

📋 Description

• We are seeking a detail-oriented and proactive Manager of EFT/ERA Enrollment Operations to lead the team responsible for managing electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollments. • This role is critical to ensuring seamless payer setup and efficient payment processing for our clients. • Lead and manage the EFT/ERA enrollment team, ensuring timely and accurate enrollment of payers across multiple platforms and systems. • Oversee daily team operations, including task assignment, progress tracking, and issue resolution. • Foster a collaborative and efficient team culture, emphasizing accountability and continuous improvement. • Ensure all payer EFT/ERA enrollment requests are submitted and processed accurately and efficiently within established timeframes. • Monitor the enrollment status with payers, troubleshoot delays, and resolve issues to minimize interruptions in client payment flows. • Maintain up-to-date knowledge of payer requirements and industry regulations related to EFT/ERA enrollment processes. • Develop and enforce quality standards to ensure accurate payer setup and reduce errors in enrollment submissions. • Ensure compliance with industry regulations, client-specific requirements, and organizational policies. • Conduct periodic audits of enrollment activities to identify and address errors or process inefficiencies. • Serve as the primary contact for internal teams and clients regarding EFT/ERA enrollment updates, issues, and escalations. • Collaborate with RCM, QA, and training teams to ensure alignment and address cross-functional challenges. • Provide regular reporting and updates to leadership on team performance and enrollment progress. • Identify areas for process improvement and implement best practices to streamline EFT/ERA enrollment workflows. • Leverage technology to enhance team efficiency and reduce manual efforts. • Develop and update Standard Operating Procedures (SOPs) to reflect evolving payer requirements and operational needs.

🎯 Requirements

• Bachelor’s degree in healthcare administration, business, or a related field. • Master’s degree preferred. • Minimum of 5 years of experience in EFT/ERA enrollment or RCM operations. • Strong understanding of payer requirements, EDI processes, and healthcare payment workflows. • Proven ability to manage and develop teams effectively. • Proficiency in healthcare RCM systems, EFT/ERA portals, and data analytics tools. • Excellent problem-solving and organizational skills, with a high level of attention to detail. • Strong communication skills and the ability to collaborate with cross-functional teams.