Head of EFT Enrollment Operations

5 days ago

Mandaluyong City, National Capital Region, Philippines Indicle Full time
About the Role

The Head of EFT Enrollment Operations will lead a critical team responsible for managing electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollments. This role is crucial to ensuring seamless payer setup and efficient payment processing for our clients.

Key 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.

EFT/ERA Enrollment Coordination

  • 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.

Quality Assurance and Compliance

  • 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.

Stakeholder Communication

  • 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.

Process Improvement

  • 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 and Qualifications

  • 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.

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