Medical Billing Service ERA Enrollment SME/TL - Work From Home

Overview

???? Job Opportunity: RCM Credentialing and ERA Enrollment SME
Company: ClinicMind – The Nation’s Leader in Multi-Specialty EHR & RCM Services
Job Type: Full-time
Shift: US Shift (Eastern Time Zone)
Work Arrangement: Work from Home

???? About the Role

ClinicMind is seeking a full-time RCM Credentialing and ERA Enrollment Subject Matter Expert (SME) to join our dynamic team. If you’re passionate about streamlining healthcare administration and thrive in a high-performance environment, this is the perfect role to take your career to the next level.

✅ Responsibilities

• Provider Enrollments: Complete provider enrollments with Medicare, Medicaid, and Private Payers.

• ERA & EFT Setup: Handle end-to-end setup for all Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) enrollments.

• Credential Verification: Conduct thorough payer network research and credential verification.

• Documentation & Submission: Provide clients with required document checklists and ensure flawless application submissions.

• Quality Assurance: Build and implement QA processes for enrollments.

• Appeals & Out-of-Network Handling: Manage closed panel appeals, out-of-network enrollments, and NPI registrations.

• Follow-ups: Regularly follow up on application statuses until finalized.

• Platform Maintenance: Maintain CAQH and PECOS profiles.

• Data Management: Keep provider-payer data updated for optimal reimbursement.

• Contract Analysis & Negotiation: Analyze payer-provider contracts and negotiate fee rates.

• Fee Schedule Management: Maintain and study fee schedules and competitive rates for all procedures.

???? Qualifications

• Experience: Minimum 5 years in US-based AR follow-up, insurance and benefits verification, with hands-on ERA Enrollment experience.

• Industry Knowledge: Strong understanding of US medical insurance, claim processing, CMS-1500 & UB-04 forms.

• Tech Skills: Familiarity with clearinghouses and medical software.

• Specialty Advantage: Experience with Chiropractic and Physical Therapy a plus.

• Soft Skills: Excellent communication, listening, and problem-solving skills.

• Education: Degree from a reputable institution.

• Work Ethic: Self-motivated, independent, and capable of working with minimal supervision.

????️ Must-Have Requirements

• Ability to work US Eastern Time Zone hours (availability for business hours and practice meetings)

• Reliable internet connection at home

• Mobile Hotspot as a backup

• Laptop/Desktop with minimum 8GB RAM

Join ClinicMind and be a part of a winning team that’s transforming healthcare operations!

Let me know if you want this in a downloadable format (like PDF or Word), or tailored for a job listing platform like LinkedIn or Indeed!

4o