Provider Enrollment Pro – Revenue Cycle

University of Mississippi Medical Center; Clinton, Northern (MS, KY); Hybrid; USD 22,000 - 33,000; Full time

Job summary

University of Mississippi Medical Center in Clinton, MS, seeks a Provider Enrollment Specialist to coordinate enrollment for physicians and allied health professionals across government and third-party payers.

The role requires a high school diploma, 2 years of enrollment/credentialing experience, and a 35 WPM typing speed; strong organization, communication, and computer skills are essential for meeting deadlines and maintaining confidentiality.

Qualifications

• High School diploma or GED required.
• Two years of healthcare claims insurance, Provider Enrollment or credentialing experience.
• Minimum speed of 35 words per minute on typing test.
• The department has the right to specify higher typing requirements.

Responsibilities

• Prepares provider applications for third party payers.
• Coordinates correspondence to carriers and billing agent 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

Typing 35 WPM

Organization

Communication

Multitasking

Computer skills

Education

High School diploma or GED

Two years of healthcare claims or credentialing experience

Tools

Word processing

Spreadsheet

Database management

Job description

University of Mississippi Medical Center in Clinton, MS, seeks a Provider Enrollment Specialist to coordinate enrollment for physicians and allied health professionals across government and third-party payers.

The role requires a high school diploma, 2 years of enrollment/credentialing experience, and a 35 WPM typing speed; strong organization, communication, and computer skills are essential for meeting deadlines and maintaining confidentiality.