Medical billing, credentialing, and enrollment specialist

Company Description
Life Medical Care is a healthcare organization focused on delivering accessible, patient-centered medical services to the local community. Our team works collaboratively to provide reliable, efficient clinical and administrative support while maintaining high standards of care.
Medical Biller – ERA/EDI Enrollment Specialist
Role Summary
We’re seeking an experienced medical biller to transition our electronic remittance advice (ERA) enrollments across insurance payers. You’ll manage enrollments directly with payers and through our clearinghouse, track each submission through approval, and confirm that remittances are being received correctly.
Responsibilities
Review current payer and provider enrollment status and identify required updates or new submissions.
Submit and manage ERA/835 enrollments through payer portals, paper or electronic forms, and the clearinghouse.
Confirm payer requirements, payer IDs, billing NPIs, tax IDs, provider details, and practice locations before submitting applications.
Follow up with payers and the clearinghouse on incomplete, rejected, or pending applications.
Maintain an enrollment tracker with submission dates, confirmation numbers, contacts, outstanding items, and effective dates.
Verify enrollment activation through payer portals or the clearinghouse and confirm that ERAs are being received.
Coordinate with the billing team to resolve routing, provider-matching, or remittance issues after activation.
Protect patient and provider information in accordance with HIPAA and company privacy procedures.
Qualifications
Experience in medical billing and payer enrollment, including ERA/835 setup.
Hands-on experience with payer portals and at least one clearinghouse enrollment workflow.
Strong organization and follow-through, with the ability to manage multiple payer applications.
Clear communication skills for working with payer enrollment departments and clearinghouse support.
Familiarity with NPI, tax ID, provider, and practice-location requirements.
What Success Looks Like
All payer enrollments are documented in a complete, current tracker.
Applications are submitted accurately with minimal rework.
Pending applications receive timely follow-up, with blockers and expected activation dates clearly reported.
ERA delivery is confirmed for each payer after enrollment.

Work arrangement
No