Provider Enrollment Specialist _ Revenue Cycle

University of Mississippi Medical Center

Michigan

On-site

USD 25,000 - 39,000

Full time

8 days ago
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Job summary

The University of Mississippi Medical Center seeks a Provider Enrollment Specialist to coordinate physician and allied health enrollment across government and third‑party payers for all reporting sites. The role emphasizes accurate data handling, timely enrollment actions, and cross‑functional collaboration.

Required are a high school diploma or GED, two years in healthcare claims or credentialing, and strong typing speed and computer skills.

Qualifications

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

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 health plans with adherence to deadlines and procedures.
  • Performs follow-up with health plans to expedite participation approval.
  • Maintains systems to identify and disseminate information regarding status of health plan participation.
  • Coordinates with insurance carriers to maintain 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 forwarding documentation to third party payers.
  • Maintains provider number records and confidentiality as required by policies.
  • Participates in an integrated work team and follows department processes for communication, production, efficiency and problem-solving.
  • Duties are general in nature and not exclusive; management can modify duties.

Skills

Coordination skills
Organization skills
Verbal and written communication
Computer skills

Education

High School diploma or GED

Tools

Word processing
Database management
Spreadsheet

Job description

Job Details

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

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)

Employment Terms

Time Type: Full time

FLSA Designation/Job Exempt: No

Pay Class: Hourly

FTE %: 100

Work Shift: Benefits Eligibility: Grant Funded:

Job Posting Dates

Job Posting Date: 09/16/2026

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

About UMMC

The University of Mississippi Medical Center is committed to educating the next generation of health professionals, discovering new cures and treatments and providing the highest quality health care. We foster environments that support respect, compassion and belonging for all faculty, staff and students as well as patients and visitors. Our employment, academic, research and clinical care practices reflect these commitments.

Equal Opportunity Statement

UMMC is an equal opportunity employer and prohibits discrimination and harassment on the basis of race, color, national origin (including limited English proficiency and primary language), disability, age, sex (as that term is defined in applicable laws such as 45 CFR § 92.101(a)(2) and binding court decisions), religion, genetic information, veteran’s status and any other status protected by applicable law. UMMC also prohibits retaliation against those who report discrimination or harassment and against those who participate in the Medical Center’s investigation and handling of such reports. Further, UMMC complies with all applicable statutes, regulations and executive orders regarding sex discrimination, sexual harassment, domestic and dating violence, sexual assault and stalking, including but not limited to Title IX of the Education Amendments of 1972 and its implementing regulations which prohibit discrimination on the basis of sex in any education program or activity UMMC operates including in admission and employment, the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistic Act (“Clery Act”) and the Campus Sexual Violence Elimination Act (“SaVE Act”). UMMC’s commitment to nondiscrimination applies to all of its programs, services, opportunities and activities, including but not limited to all employment, academic, research and clinical care practices and extends to all students, applicants for admission, employees, applicants for employment, affiliates, subcontractors, on-site contractual staff, third party or community members, visitors to any of our campuses and others participating in UMMC programs or receiving UMMC services. With respect to employment in particular, this commitment applies to all employment decisions including but not limited to recruitment, employment, training, promotion, compensation, benefits, disciplinary actions and termination. UMMC maintains an affirmative action program in accordance with applicable laws. Consistent with these laws, UMMC takes affirmative action to recruit, employ, advance and prevent discrimination against qualified individuals.

Compliance and Reporting

In compliance with Section 1557 of the Patient Protection and Affordable Care Act and other federal civil rights laws and to ensure individuals with disabilities and those with limited English proficiency have meaningful access to, have an equal opportunity to participate in and have an equal opportunity to enjoy the benefits of our programs, activities, services and other benefits, UMMC provides the following in a timely manner and free of charge: reasonable modifications to our policies, practices, or procedures for qualified individuals with disabilities when such modifications are necessary to avoid discrimination on the basis of disability; appropriate auxiliary aids and services for individuals with disabilities (including individuals’ companions with disabilities) which may include qualified sign language interpreters and written information in other formats including braille and large print and language assistance services for individuals with limited English proficiency (including individuals’ companions with limited English proficiency) which may include qualified interpreters and information written in other languages.

Complaint Process

You may request additional information, accommodation or file a complaint through the applicable process identified below. Inquires or complaints relating to discrimination or other employment issues may be referred to the Office of Employee Relations, 2500 North State Street, Jackson, Mississippi 39216-4505 or emailed to hremployeerelations@umc.edu. If you are a UMMC Student who needs more information or needs to file a complaint, please click here. If you are anyone who has experienced, witnessed or otherwise has knowledge of any alleged violation of UMMC’s Title IX policy, please click here. If you are a Visitor/Patient who needs more information or needs to file a complaint, please click here.

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