Provider Enrollment & Compliance Specialist

University of Mississippi Medical Center; Michigan; On-site; USD 22,000 - 30,000; Part time

Job summary

The University of Mississippi Medical Center is seeking a Part Time Provider Enrollment Specialist to coordinate enrollment for physician and allied health professionals across all government and third party payers for the division's billing sites.

This role requires a high school diploma and at least two years of enrollment or credentialing experience, plus accurate typing and strong organizational skills.

Qualifications

• High School diploma or GED required.
• Two (2) years of healthcare claims insurance, Provider Enrollment or credentialing experience.
• Minimum speed of 35 words per minute on typing test.

Responsibilities

• Prepares provider applications for third party payers.
• Coordinates correspondence to carriers and billing agents to expedite provider number assignments.
• Coordinates delivering provider applications to appropriate health plans including adherence to strict deadlines and procedures.
• Performs follow-up with health plans in order to expedite participation approval by each health plan.
• Maintains systems to identify and disseminate information to others regarding status of health plan participation.
• Coordinates with insurance carriers to maintain the most current applications and processes for enrollment.
• Coordinates, completes, and follows-up on the revalidation process for contracted payers.
• Insures current information is on file for all contracted physicians and all pertinent documentation is forwarded to appropriate third party payers.
• Maintains provider number records, personal adherence to professional confidentiality standards established within the department and in accordance with legal, ethical, payor organization practices and policies.
• Participates in an integrated work team as a responsible team member, follows the established department processes concerning communication, production, efficiency, conflict resolution, decision-making, problem-solving, and interpersonal relations.

Skills

Organization

Time management

Communication

Multitasking

Typing speed 35 wpm

Education

High School diploma or GED

Tools

Word processing

Database management

Spreadsheet

Job description

The University of Mississippi Medical Center is seeking a Part Time Provider Enrollment Specialist to coordinate enrollment for physician and allied health professionals across all government and third party payers for the division's billing sites.

This role requires a high school diploma and at least two years of enrollment or credentialing experience, plus accurate typing and strong organizational skills.