Advantia Health

Claims Specialist

• Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals
• Initiating EFT (electronic funds transfer) set up with payers & third-party portals
• Assist in vendor support of daily cash reconciliation duties
• Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials
• Clear understanding of reconciling offset/recoupment payer remits
• Call carriers and third parties to resolve unidentified payments/reconcile items
• Responsible for maintaining payer portal admin and employee registration
• Assist the RCM Manager with various projects

Claims Resolution Specialist