ECRP Analyst Liaison

@ AmeriHealth Caritas

ECRP Analyst Liaison at AmeriHealth Caritas

Your career starts now. We’re looking for the next generation of health care leaders at AmeriHealth Caritas, a mission-driven organization with over 30 years of experience in delivering comprehensive, outcomes-driven care.

Responsibilities

• Investigate and enter data for Out of Area ECRP claims processing and adjustments.
• Provide telephone customer service to internal and external clients on the ECRP Hotline.
• Reconcile daily reports and research invalid Members for claim submission via the Facet processing system.
• Assist Provider Network Management in reconciling invalid provider inquiries.
• Manage and process all ECRP provider appeals along with tracking inquiries and training claims processing staff.

Education and Experience

Minimum three years experience in claims processing and/or customer service, with in-depth knowledge of claims payment methodology. Associate’s Degree or equivalent work experience required. Bachelor’s Degree and Healthcare or Managed Care experience preferred, with a minimum typing speed of 45 wpm and proficiency in PC applications in a Windows environment.

Benefits

Flexible work solutions including remote options and hybrid work schedules, competitive pay, paid time off (holidays and volunteer events), health insurance starting Day 1, 401(k), tuition reimbursement, and more.

Key skills/competency

• ECRP
• Claims Processing
• Data Entry
• Customer Service
• Reconciliation
• Provider Appeals
• Training
• Healthcare
• Managed Care
• PC Applications