Provider Enrollment Specialist
4 months ago
Description
Take on a key administrative role within an award-winning health system. Elevate the operational efficiency of a world-class healthcare leader. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new and existing enrollment applications, revalidation, terminations, ordering, referring, e-prescribing, and reactivation applications for Ronald Reagan-UCLA Medical Center, Santa Monica-UCLA Medical Center, UCLA Medical Group, Durable Medical Equipment, and Ambulatory Surgical Centers. You'll coordinate the completion of applications with physicians and monitor expiring CLIAs, revalidations, and terminations. You'll also maintain enrollment in the ECHO One App database.
You will:
Facilitate government enrollment application requests for new physicians Review applications for completeness/accuracy
Notify enrollment providers of documentation requirements
Track and monitor completion of applications by physicians/practitioners in ECHO Database
Audit completed files
Track expired CLIAs, AIA enrollments, provisionally paneled CCS enrollments, mammograms, and re-enrollments
Salary Range: $28.23 - $40.44 Hourly
Qualifications
We're seeking a self-motivated, highly organized, analytical professional with:
AA Degree or higher required
Experience in Provider Enrollment Required
Experience with CMS, PECOS, and PAVE portals required
Required Experience with NPPES enrollments
Knowledge of Medicare, MediCal, out-of-state Medicaid, etc.
Required experience with out of state Medicaid
Ability to electronically submit applications for DME, ASC, Group, and Individual enrollments
Experience with Echo One and Care Connect preferred
Knowledge of policy and procedures for government payors and UC Health to accurately answer questions from internal and external customers
Excellent research, analytical, and troubleshooting skills
Knowledge of Adobe and Microsoft Outlook, Word, and Excel Software programs
Ability to adjust working hours and, if necessary, work overtime to meet the needs of the Office and reporting
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 270 community clinics throughout Southern California. We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
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