Enrollment Specialist

2 weeks ago

Lubbock, Texas, United States UMC Health System Full time
Job Summary

We are seeking a highly organized and detail-oriented Enrollment Specialist to join our team at UMC Health System. As an Enrollment Specialist, you will play a critical role in facilitating the payer applications process for new and existing providers, ensuring accurate and timely enrollment with commercial, delegated, and government payers.

Key Responsibilities
  • Conducts the enrollment process and maintains accurate and up-to-date provider information in CredentialStream platform and Teams software
  • Adheres to deadlines and enrollment schedules by tracking enrollment through all stages
  • Communicates with providers, payers, and internal teams to ensure seamless enrollment process
  • Maintains confidentiality and responsibility for all enrollment files throughout the process
  • Ensures that all enrollment activities adhere to healthcare regulations, best practices, and organizational policies
  • Collaborates with UMCP, UMC departments, and billing to facilitate the enrollment process
  • Addresses and resolves enrollment-related issues and discrepancies promptly
  • Generates reports and documentation related to physician enrollment, as needed
Requirements
  • Strong communication skills for speaking with payers, facilities, medical billing staff, and providers via telephone or in person
  • Willingness to establish and maintain effective work relationships with providers, payers, Medical Staff Office's, co-workers, supervisors, managers, and directors
  • Ability to analyze, interpret, and draw inferences from research findings and prepare reports
  • Ability to work independently in a fast-paced environment while remaining calm and professional
  • Database management skills, including generating queries, reports, and documents
Preferred Qualifications
  • Basic knowledge of medical credentialing and privileging procedures
  • 2 years related experience and/or training (but not required); Training provided
Work Environment

Works in a well-lighted, heated, and ventilated building. Exposure to blood-borne pathogens is of low risk. Hours of duty may be irregular.

Physical Requirements

Work is of medium demand; walking and sitting most of the time while on duty. Adequate hand/eye coordination and fine motor skills required. Visual acuity and writing skills necessary for factual documentation. Hours may vary to accommodate needs of the corporation.

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