EFT ERA Operations Manager
7 days ago
As a seasoned professional, you will lead the EFT/ERA enrollment team at Indicle, driving seamless payer setup and efficient payment processing for our clients. Your expertise in healthcare revenue cycle operations, coupled with strong leadership skills, will be instrumental in achieving operational excellence.
Team Leadership & Operations Management- Lead and manage the EFT/ERA enrollment team to ensure 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.
Key Performance Indicators (KPIs):
- Enrollment Accuracy: Achieve a 99% accuracy rate in EFT ERA enrollment submissions.
- Timeliness of Enrollment: Ensure 95% of enrollments are completed within payer-specified timeframes.
- Resolution of Delayed Enrollments: Resolve 100% of delayed enrollments within five business days of issue identification.
- Error Reduction: Maintain error rates for enrollments at below 1%.
- Client Satisfaction: Achieve and sustain a 95% satisfaction rate from clients regarding EFT ERA enrollment services.
- Audit Compliance: Pass 100% of internal and external audits related to EFT ERA enrollment accuracy and compliance.
- Process Efficiency: Implement process improvements that result in a 20% reduction in turnaround time for enrollments within six months.
To excel in this role, you should possess a Bachelor's degree in healthcare administration, business, or a related field, along with a minimum of 5 years of experience in EFT ERA enrollment or RCM operations, with at least 2 years in a leadership position.
The ideal candidate will have a strong understanding of payer requirements, EDI processes, and healthcare payment workflows, as well as proven ability to manage and develop teams effectively.
Prior experience with healthcare RCM systems, EFT ERA portals, and data analytics tools is also highly desirable.
We require the successful candidate to be comfortable working US business hours, owning a PC with at least 16 GB of memory, and possessing stable internet connection and mobile data plan as a backup.
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