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Business Management

Manager, EFT/ERA Enrollment Operations Full Time

Summary:

  • 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.
  • The ideal candidate will have extensive experience in healthcare revenue cycle operations, strong team leadership skills, and a commitment to driving operational excellence.

Responsibilities:

  • 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, with at least 2 years in a leadership role.
  • 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.
  • Must have stable internet connection minimum of 5 MBPS.
  • Must have a mobile data plan as a backup.
  • Must be in a quiet environment.
  • Must be comfortable working the US business hours.
  • Must own a PC with at least 16 GB of memory.

Benefits:

  • We are a fast-paced and innovative organization committed to delivering exceptional RCM services.
  • As Manager of EFT/ERA Enrollment Operations, you’ll have the opportunity to lead a critical team, implement impactful improvements, and contribute to our clients’ success.
  • If you are passionate about operational excellence and team leadership, we encourage you to apply.

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