Provider Enrollment & Billing Specialist II

CHRISTUS Health; Irving (TX); On-site; USD 42,000 - 66,000; Full time

Job summary

CHRISTUS Health in Irving, Texas, is seeking an Enrollment Specialist to coordinate Medicare and Medicaid enrollment, re‑enrollment, credentialing, and contracting for providers across our network.

You will administer billing system functions, maintain NPI files, monitor accounts receivable, respond to carriers and practices, and train staff on the billing software while upholding HIPAA and CHRISTUS policies.

Qualifications

• High school diploma or equivalent.
• 1-3 years of payer enrollment experience preferred.
• Familiarity with Microsoft Office applications preferred.

Responsibilities

• Collects and maintains data on providers for Medicare and Medicaid enrollment
• Prepares and submits applications to Medicare and Medicaid for new provider enrollments and updates; follows up with carriers
• Complies with Medicare and Medicaid provider enrollment guidelines
• Requests NPI numbers for providers and clinics and maintains NPI files
• Follows up with insurance companies and patients regarding processing of outstanding claims and/or appeals
• Generates reports to identify outstanding claims issues with provider numbers and non-payment
• Communicates information to appropriate personnel
• Educates staff on corrections and front-end entry errors in a positive manner
• Assists in training on Billing System software and serves as a Superuser

Skills

Payer enrollment experience

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

CHRISTUS Health in Irving, Texas, is seeking an Enrollment Specialist to coordinate Medicare and Medicaid enrollment, re‑enrollment, credentialing, and contracting for providers across our network.

You will administer billing system functions, maintain NPI files, monitor accounts receivable, respond to carriers and practices, and train staff on the billing software while upholding HIPAA and CHRISTUS policies.