Requisition 09003172

Administrative/Clerical Support Career Opportunities

Telephone Job Line: (214) 648-5627

SENIOR PROVIDER ENROLLMENT SPECIALIST

Posted Date Mon Aug 17, 2009

Closing Date Fri Aug 21, 2009 or until filled

Salary * Negotiable *

FLSA Status Non-exempt

Department Msrdp Business Operations Administration

Job Category Administrative/Clerical Support

Hours 8 AM 5 PM

Requisition Number 09003172

Position Number 25028

Experience & Education Required (any one of the following):

1. High School graduation or equivalent and six (6) years experience in business or health care environment; OR Two (2) years of college and four (4) years experience as stated above; OR Bachelor's degree and two (2) years experience as stated above is required.

Skills And Abilities Customer Service
Effective Communications Skills

Security This position is security-sensitive and subject to Texas Education Code §51.215, which authorizes UT Southwestern to obtain criminal history record information.

Job Duties 1. Coordinates provider billing enrollment, additions, and updates provider data to IDX Provider Dictionary numbers 3, 123, 790, and Cactus for system billing providers.

2. Acts as liasion for Provider Enrollment unit with other departments and clinical departments as necessary in support of group and provider enrollment and dictionary numbers 3, 123, and 790 maintenance.

3. Makes recommendations regarding billing enrollment administration and system enhancements to improve effectiveness and efficiency of provider billing environment and re-enrollment.

4. Assists with implementation of projects regarding provider enroll- ment and re-enrollment, maintains provider billing enrollment information and unit's provider enrollee filing system. Produces and analyzes various Information Systems IDX Provider Edit Reports and Provider Information Unit enrollment status reports.

5. Establishes and maintains strong working relationships with clinic- al departments, Contract Management and all departments. Answers questions from management and staff and clinical department personnel regarding provider enrollment and IDX provider data. Develops and maintains working relationships with personnel at governmental agencies.

6. Trains new staff in IDX dictionary numbers 3, 123, and 790 maintenance, billing enrollment application processing guidelines, policies and procedures used by Provider Information Systems and federal and state program carriers and agencies. Assists in developing reports.

7. Coordinates training classes with clinical department to ensure completion of applications.

8. Updates Cactus program of government provider number received. Tracks and logs all enrolling providers on government spreadsheet sending it to all clinical departments.

9. Resolves edit issues from Billing Operations department pertaining to enrollment.

10. Couriers all department requests for external and internal departments. Enrolls new groups to Electronic Data Information and Electronic Funds Transfer.

11. Processes weekly reports for billing purposes. Assists other University of Texas Southwestern Health System departments on an as needed basis.

12. Performs other duties as assigned.

Comments

Return to Administrative/Clerical Support Career Opportunities

Posted Date	Mon Aug 17, 2009
Closing Date	Fri Aug 21, 2009 or until filled
Salary	* Negotiable *
FLSA Status	Non-exempt
Department	Msrdp Business Operations Administration
Job Category	Administrative/Clerical Support
Hours	8 AM 5 PM
Requisition Number	09003172
Position Number	25028
Experience & Education Required (any one of the following):	1. High School graduation or equivalent and six (6) years experience in business or health care environment; OR Two (2) years of college and four (4) years experience as stated above; OR Bachelor's degree and two (2) years experience as stated above is required.
Skills And Abilities	Customer Service Effective Communications Skills
Security	This position is security-sensitive and subject to Texas Education Code §51.215, which authorizes UT Southwestern to obtain criminal history record information.
Job Duties	1. Coordinates provider billing enrollment, additions, and updates provider data to IDX Provider Dictionary numbers 3, 123, 790, and Cactus for system billing providers. 2. Acts as liasion for Provider Enrollment unit with other departments and clinical departments as necessary in support of group and provider enrollment and dictionary numbers 3, 123, and 790 maintenance. 3. Makes recommendations regarding billing enrollment administration and system enhancements to improve effectiveness and efficiency of provider billing environment and re-enrollment. 4. Assists with implementation of projects regarding provider enroll- ment and re-enrollment, maintains provider billing enrollment information and unit's provider enrollee filing system. Produces and analyzes various Information Systems IDX Provider Edit Reports and Provider Information Unit enrollment status reports. 5. Establishes and maintains strong working relationships with clinic- al departments, Contract Management and all departments. Answers questions from management and staff and clinical department personnel regarding provider enrollment and IDX provider data. Develops and maintains working relationships with personnel at governmental agencies. 6. Trains new staff in IDX dictionary numbers 3, 123, and 790 maintenance, billing enrollment application processing guidelines, policies and procedures used by Provider Information Systems and federal and state program carriers and agencies. Assists in developing reports. 7. Coordinates training classes with clinical department to ensure completion of applications. 8. Updates Cactus program of government provider number received. Tracks and logs all enrolling providers on government spreadsheet sending it to all clinical departments. 9. Resolves edit issues from Billing Operations department pertaining to enrollment. 10. Couriers all department requests for external and internal departments. Enrolls new groups to Electronic Data Information and Electronic Funds Transfer. 11. Processes weekly reports for billing purposes. Assists other University of Texas Southwestern Health System departments on an as needed basis. 12. Performs other duties as assigned.
Comments