Provider Enrollment Specialist - Managed Care (Galveston)

Job description

Provider Enrollment Specialist - Managed Care (Galveston) - ( 2602964 ) Description REQUIRED EDUCATION & EXPERIENCE: Minimum Qualifications: - One year of financial, credentialing, billing, or related experience in a healthcare organization. Preferred Qualifications: - Associate's degree preferred - 2 years of experience in a healthcare or medical setting preferred. JOB SUMMARY: The Provider Enrollment Specialist is responsible for coordinating, monitoring and maintaining the provider enrollment and re-enrollment process in a timely and compliant manner with all government and commercial payors. Facilitates all aspects of provider enrollment, including initial enrollment, reenrollment, monitoring, and appointment for the medical staff and allied health practitioners. ESSENTIAL JOB FUNCTIONS: - Facilitate enrollment of new UTMB providers to ensure proper and timely billing and collections. - Prepare enrollment applications for all health plans including Medicare and Medicaid. - Complete data entry and processing of enrollment applications, with validation of provider submitted information to ensure the application is complete, accurate, and meeting UTMB standards. - Maintain timelin...