Enrollment Specialist – Medical Billing
4 days ago
Credentialing Specialist
Red House Medical Billing is searching for individuals to join our team. Maintaining a clean and updated database is crucial for the success of Red House Medical Billing. All business units rely on updated and valid information to ensure our providers and clients are receiving the services they come to expect.
Purpose: The Enrollment Specialist is responsible for managing payer enrollments, including the setup and maintenance of Electronic Remittance Advice (ERA/835) and Electronic Funds Transfer (EFT) enrollments for medical billing operations. This role focuses on ensuring seamless integration of payer-provider relationships, maintaining accurate bank account transitions, and ensuring compliance with hospital billing standards. Prior experience with Henry Ford Health System workflows is highly desirable.
Responsibilities:
The Specialist will be responsible for the following:
- Coordinate and complete payer enrollment processes for ERA/835 and EFT setup with commercial and government payers.
- Facilitate smooth bank account transitions and ensure accurate routing of electronic payments and remittances.
- Work closely with billing teams, clearinghouses, and financial institutions to manage payer setups and troubleshoot enrollment issues.
- Track and maintain enrollment status and documentation in internal systems.
- Maintain compliance with HIPAA and internal policies during all electronic data interchange (EDI) transactions.
- Serve as the point of contact for enrollment-related escalations and resolve discrepancies in payer enrollments and remittance delivery.
- Collaborate with Revenue Cycle teams to optimize cash flow through timely completion of enrollments and transitions.
- Demonstrate familiarity with Henry Ford Health System billing protocols, systems, and payer relationships, contributing to streamlined integration and processing.
Qualifications:
The Specialist should have some if not all of the following qualifications:
- High School Diploma or GED required; Associate's or Bachelor's degree in Healthcare Administration, Business, or related field preferred.
- Minimum 2–3 years of experience in medical billing enrollment, preferably in a hospital or large health system setting.
- Proven experience with 835/ERA enrollments, EFT setup, and bank account transitions.
- Familiarity with payer portals, clearinghouses, and EDI systems (e.g., Availity, Change Healthcare).
- Experience working with or within Henry Ford Health System strongly preferred.
- Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and billing software.
- Strong attention to detail, organization, and ability to manage multiple enrollment tasks simultaneously.
Job Type: Full-time
Pay: Php25, Php30,000.00 per month
Benefits:
- Flextime
- Work from home
Work Location: Remote
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