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ERA/EFT Enrollment Specialist

Roles & Responsibilities

  • Experience with ERA, EFT, and EDI processing and payer enrollment through a healthcare clearinghouse.
  • Strong communication skills to coordinate with payers and clearinghouses and resolve enrollment-related issues and obtain required EOBs.
  • Attention to detail and strong organizational skills to monitor payer data, update billing information, and ensure timely completion of enrollment updates.
  • Knowledge of HIPAA security regulations and practices; commitment to data privacy and security; willingness to work in NYC in-person or hybrid.

Requirements:

  • Review incoming payments to identify payers eligible for EDI, ERA, and EFT processing through the clearinghouse.
  • Create enrollment requests and follow up to confirm approval and activation; communicate with the clearinghouse to resolve enrollment-related issues.
  • Monitor billing and payment data from payers to identify and implement required updates; execute payer-specific procedures to update billing information and ensure completion.
  • Assist the payments department by contacting payers to request missing EOBs and identify payments requiring additional documentation, coordinating with payers to obtain or reprocess EOBs.

Job description

About Us:

Camber builds software to improve the quality and accessibility of healthcare. We streamline and replace manual work so clinicians can focus on what they do best: providing great care. For more details on our thesis, check out our write-up: What is Camber?

We’ve raised $50M in funding from phenomenal supporters at a16z, Craft Ventures, YCombinator, Manresa, and many others who are committed to improving the accessibility of care. For more information, take a look at: Announcing Camber

About our Culture:

Our mission to change behavioral health starts with us and how we operate. We don’t want to just change behavioral health, we want to change the way startups operate. Here are a few tactical examples:

1) Improving accessibility and quality of healthcare is something we live and breathe. Everyone on Camber’s team cares deeply about helping clinicians and patients.

2) We have to have a sense of humor. Healthcare is so broken, it's depressing if you don't laugh with us.

About the Role

We're looking for an ERA/EFT Enrollment Specialist who will be responsible for managing the automated receipt of payments and Explanations of Benefits (EOBs) from payers. This role ensures all payers have current billing and payment information on file and that necessary EOBs are obtained for payment processing.

What you'll do:

  • Review incoming payments to identify payers eligible for EDI, ERA, and EFT processing through our clearinghouse.

  • Create enrollment requests and follow up to confirm approval and activation.

  • Communicate with the clearinghouse to resolve any enrollment-related issues.

  • Monitor billing and payment data from payers to identify and implement required updates.

  • Execute payer-specific procedures to update billing information and follow through to ensure completion.

  • Assist the payments department by contacting payers to request missing EOBs needed for processing.

  • Identify payments that require additional documentation and coordinate with payers to obtain or reprocess EOBs.

Camber is based in New York City, and we prioritize in-person and hybrid candidates. Please refer to the top of this page for this position's hiring location.

Building an inclusive culture is one of our core tenets as a company. We’re very aware of structural inequalities that exist, and recognize that underrepresented minorities are less likely to apply for a role if they don’t think they meet all of the requirements. If that’s you and you’re reading this, we’d like to encourage you to apply regardless — we’d love to get to know you and see if there’s a place for you here!

In addition, we take security seriously, and all of our employees contribute to uphold security requirements and maintain compliance with HIPAA security regulations.

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