Provider Enrollment Specialist _ Revenue Cycle

University of Mississippi Medical Center; Clinton (MS); Presencial; USD 21 000 - 30 000; Tempo integral

Resumo da oferta

University of Mississippi Medical Center is seeking a Provider Enrollment Specialist in Clinton to coordinate enrollment for physicians and allied professionals across all government and third-party payers for multiple billing sites. This full-time role requires strong organization, multi-tasking, and excellent written and verbal communication.

The ideal candidate has a high school diploma or GED, at least two years in healthcare claims or credentialing, and a typing speed of 35 WPM.

Qualificações

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

Responsabilidades

• Prepares provider applications for third party payers.
• Coordinates correspondence to carriers and billing agents to expedite provider number assignments.
• Coordinates delivering provider applications to health plans with adherence to deadlines.
• Performs follow-up with health plans to expedite participation approval.
• Maintains systems to identify and disseminate information on status of health plan participation.
• Maintains provider number records and confidentiality in line with policies.

Conhecimentos

Claims experience

Typing speed 35 wpm

Formação académica

High School diploma or GED

Descrição da oferta de emprego

Job Requisition ID:

R00054034

Job Category:

Clerical and Customer Service

Organization:

Rev Cycle - Professional Provider Enrollment

Location/s:

Central Billing Office-Clinton

Job Title:

Provider Enrollment Specialist _ Revenue Cycle

Job Summary:

Coordinates provider enrollment for physician/allied health professional participation in all government and third party payers for all billing sites for which the division is responsible

Education & Experience

Education and Experience Required:

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. The department has the right to specify higher typing requirements..

Certifications, Licenses, or Registration Required: N/A

Preferred Qualifications:

Candidates with prior Medicare/ Medicaid enrollment experience are preferred.

Knowledge, Skills & Abilities

Knowledge, Skills, and Abilities:

Coordinates provider enrollment for physician/allied health professional participation in all government and third party payers for all billing sites for which the division is responsible.

Excellent organization and time management skills with the ability to handle multi-tasks.
excellent verbal and written communication skills must have excellent computer skills (word-processing, database management, and spreadsheet).

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.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands
Requires occasional working hours significantly beyond regularly scheduled hours, occasional activities subject to significant volume changes of a seasonal/clinical nature, occasional bending, occasional lifting and carrying up to 25 pounds, occasional crouching/stooping, occasional driving, occasional kneeling, occasional reaching, constant sitting, frequent standing, occasional twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Time Type:

Full time

FLSA Designation/Job Exempt:

No

Pay Class:

Hourly

FTE %:

100

Work Shift:

Benefits Eligibility:

Grant Funded:

Job Posting Date:

09/16/2026

Job Closing Date (open until filled if no date specified):