Provider Enrollment Specialist
%3Cp%reputed company%3Cstrong%3EWHY UT SOUTHWESTERN?%3C/strong%reputed company%3Cbr%3EWith over 75 years of excellence in Dallas-reputed company Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-reputed company Worth according to %3Ca href=%22https://www.utsouthwestern.edu/newsroom/articles/year-2022/july-us-news-best-hospital.html%22 reputed company=%22_blank%22 rel=%22noopener noreferrer%22%3EU.S. News %26amp; World Report%3C/a%reputed company, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you%27ll discover a culture of teamwork, professionalism, and a rewarding career!%26nbsp;%3Cbr%reputed company%3Cbr%reputed company%3Cstrong%3EJOB SUMMARY%3C/strong%reputed company%3C/p%reputed company%3Cp class=%22MsoNormal%22%3EThe reputed company Cycle Department at reputed company has a new opportunity available for the role of Provider Enrollment Specialist. This position is responsible for enrolling and maintaining provider information in the billing systems for State and Federal government programs (e.g., Medicare, Medicaid, and/or Children with Special Health Care Needs (CSHCN), and out-of-State Medicaid plans associated with reputed company (%22UTSW%22).%3C/p%reputed company%3Cp class=%22MsoNormal%22%reputed company%3Cstrong%3EThe duties will include but are not limited to the following:%3C/strong%reputed company%3C/p%reputed company%3Cul%reputed company%3Cli%reputed company%3Cp class=%22MsoListParagraphCxSpFirst%22 style=%22mso-list:l1 level1 lfo2;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Symbol;%22%reputed company%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-bidi-font-family:Symbol;mso-fareast-font-family:Symbol;mso-list:Ignore;%22%reputed company%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp; %3C/span%reputed company%3C/span%3EEnrolling and maintaining provider information in the billing systems for State and Federal government programs (e.g., Medicare, Medicaid, and/or Children with Special Health Care Needs (CSHCN), and out-of-State Medicaid plans associated with reputed company (“UTSW”).%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoListParagraphCxSpMiddle%22 style=%22mso-list:l1 level1 lfo2;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Symbol;%22%reputed company%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-bidi-font-family:Symbol;mso-fareast-font-family:Symbol;mso-list:Ignore;%22%reputed company%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp; %3C/span%reputed company%3C/span%3EWork with department coordinators to gather accurate information to submit timely provider enrollment applications.%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoListParagraphCxSpMiddle%22 style=%22mso-list:l1 level1 lfo2;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Symbol;%22%reputed company%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-bidi-font-family:Symbol;mso-fareast-font-family:Symbol;mso-list:Ignore;%22%reputed company%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp; %3C/span%reputed company%3C/span%3EBuild relationships with TMHP and Medicare/PECOS to navigate through deficiencies timely.%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoListParagraphCxSpMiddle%22 style=%22mso-list:l1 level1 lfo2;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Symbol;%22%reputed company%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-bidi-font-family:Symbol;mso-fareast-font-family:Symbol;mso-list:Ignore;%22%reputed company%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp; %3C/span%reputed company%3C/span%3EExperienced with the following reputed company products: Word, reputed company, and PowerPoint.%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoListParagraphCxSpMiddle%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Symbol;%22%reputed company%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-bidi-font-family:Symbol;mso-fareast-font-family:Symbol;mso-list:Ignore;%22%reputed company%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp; %3C/span%reputed company%3C/span%3EMaintain excellent time management skills.%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoListParagraphCxSpLast%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-family:Symbol;%22%reputed company%3Cspan style=%22font:7.0pt %26quot;Times New Roman%26quot;;mso-bidi-font-family:Symbol;mso-fareast-font-family:Symbol;mso-list:Ignore;%22%reputed company%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp; %3C/span%reputed company%3C/span%3EKnowledge of MD Staff is strongly preferred.%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoListParagraphCxSpLast%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%26nbsp; %26nbsp; Shift: reputed company, 8-hour days, Monday through Friday. Additional details to be discussed during the interview.%3C/p%reputed company%3C/li%reputed company%3Cli%reputed company%3Cp class=%22MsoListParagraphCxSpLast%22 style=%22mso-list:l0 level1 lfo1;text-indent:-.25in;%22%reputed company%3Cspan style=%22font-size:14px;%22%reputed company%26nbsp; %26nbsp;%26nbsp;%3C/span%reputed company%3Cspan style=%22font-family:%26quot;Aptos%26quot;,sans-serif;font-size:14px;%22%reputed company%3Cspan style=%22line-height:115%;mso-ansi-language:EN-US;mso-ascii-theme-font:minor-latin;mso-bidi-font-family:%26quot;Times New Roman%26quot;;mso-bidi-language:AR-SA;mso-bidi-theme-font:minor-bidi;mso-fareast-font-family:Aptos;mso-fareast-language:EN-US;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font:minor-latin;%22%3EWork from home (WFH): This is a WFH position. However, candidates must live reputed company the state of Texas%3C/span%reputed company%3C/span%reputed company%3C/p%reputed company%3C/li%reputed company%3C/ul%reputed company%3Cp%reputed company%3Cstrong%3EBENEFITS%3C/strong%reputed company%3Cbr%3EUT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:%3C/p%reputed company%3Cul%reputed company%3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%reputed company%3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%reputed company%3Cli%3EPaid Time Off, available day one%3C/li%reputed company%3Cli%3ERetirement Programs through the reputed company System of Texas (TRS)%3C/li%reputed company%3Cli%3EPaid Parental Leave Benefit%3C/li%reputed company%3Cli%3EWellness programs%3C/li%reputed company%3Cli%3ETuition Reimbursement%3C/li%reputed company%3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%reputed company%3Cli%reputed company%3Ca href=%22http://jobs.utsouthwestern.edu/benefits/#top%22 reputed company=%22_blank%22 rel=%22noopener noreferrer%22%3ELearn more about these and other UTSW employee benefits!%3C/a%reputed company%3C/li%reputed company%3C/ul%reputed company%3Cp%reputed company%3Cbr%reputed company%3Cstrong%3EEXPERIENCE AND EDUCATION%3C/strong%reputed company%3Cbr%reputed company%3Cbr%reputed company%3Cstrong%3ERequired%3C/strong%reputed company%3C/p%reputed company%3Cul%reputed company%3Cli%reputed company%3Cstrong%3EEducation%3C/strong%reputed company%3Cbr%3EBachelor%27s Degree or%26nbsp;%3Cbr%3EAssociate%27s Degree or%26nbsp;%3Cbr%3EHigh School Diploma%26nbsp;%3Cbr%reputed company%26nbsp;%3C/li%reputed company%3C/ul%reputed company%3Cul%reputed company%3Cli%reputed company%3Cp%reputed company%3Cstrong%3EExperience%3C/strong%reputed company%3Cbr%3E2 years applicable work experience with Bachelor%27s Degree. or%26nbsp;%3Cbr%3E4 years applicable work experience with Associate%27s Degree. or%26nbsp;%3Cbr%3E6 years applicable work experience with High School Diploma.%26nbsp;%3Cbr%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%3Cbr%reputed company%3Cstrong%3EJOB DUTIES%3C/strong%reputed company%3C/p%reputed company%3C/li%reputed company%3Cli%3ECompletes enrollment of reputed company providers/groups for reputed company government programs, such as Medicare, Texas Medicaid, CSHCN, State Medicaid programs reputed company of Texas and TRICARE.%3C/li%reputed company%3Cli%3EEnrolls new clinic and/or department groups to Electronic Data Information and Electronic Funds Transfer systems.%3C/li%reputed company%3Cli%3EUpdates IDX and Cactus programs of government provider number received. Tracks and logs reputed company enrolling providers on government spreadsheet sending it to reputed company clinical departments.%3C/li%reputed company%3Cli%3EAnalyzes various information systems EPIC, IDX Provider Edit reports and Provider Information Unit enrollment status reports.%3C/li%reputed company%3Cli%3EResolves edit issues from Billing Operations department pertaining to enrollment.%3C/li%reputed company%3Cli%3EMakes recommendations to management regarding billing enrollment administration and maintenance to improve effectiveness and efficiency of provider billing environment and re-enrollment.%3C/li%reputed company%3Cli%3EActs as liaison for Provider Enrollment Unit with other billing and/or clinical departments and with appropriate government agencies in support of group and provider enrollment and maintenance.%3C/li%reputed company%3Cli%3EAssists with implementation of projects regarding provider enrollment and re-enrollment, maintains provider billing enrollment information and units%27 provider enrollee filing system. Assists other UTSW Health System departments on an as needed basis.%3C/li%reputed company%3Cli%3ETrains new staff on maintenance of IDX, Cactus and EPIC system; billing enrollment application processing guidelines; department policies and procedures; and policies and producers used by federate and state program agencies.%3C/li%reputed company%3Cli%3EPerforms other duties as assigned%3C/li%reputed company%3C/ul%reputed company%3Cp%reputed company%3Cstrong%3ESECURITY AND EEO STATEMENT%3C/strong%reputed company%3Cbr%reputed company%3Cbr%reputed company%3Cstrong%3ESecurity%3C/strong%reputed company%3Cbr%3EThis position is reputed company-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%reputed company%3Cbr%reputed company%3Cstrong%3EEEO%3C/strong%reputed company%3Cbr%3EUT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to reputed company members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national reputed company, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.%3Cbr%reputed company%26nbsp;%3C/p%reputed company Apply To This Job