Provider Enrollment Coordinator

Type of Position:

Job Type:

Institution Name:

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education research and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical Dental and Vision plans available for qualifying staff and family
• Holiday Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position please click theApply link/button.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

Departments Website:

Summary of Job Duties:

Qualifications:

• Bachelors degree Associates degree plus 2 years of experience OR high school diploma plus 4 years equivalent combination of education and medical revenue cycle and/or credentialing/enrollment. Provider enrollment experience with out-of-state Medicaid claims.

• Credentialing certification

Additional Information:

This position does not directly influence budget-making decisions; however this person should possess the ability to understand the impact on the budget of decisions made from their unit.

Review and recommend appropriate level of staff status for applicants and advise Department Business Administrators Service Line Administrators and/or their designees.
Process provider enrollment packets for completion to send out to payers in a timely manner.
Prepare application & enrollment packets for distribution to professional providers. Maintain logging systems to ensure that all packets are returned.
Upon return of packets review data for completeness.
Follow up to obtain missing information as needed. Review/discuss enrollment process with physicians / providers and/or department liaisons and/or leaders as necessary.
Maintain accurate professional provider data in enrollment/credentialing database.
Enroll physicians and other professional providers in the appropriate reimbursement programs and ensures that the billing office is able to bill/collect from these payers on a timely basis.
Coordinate with the hospital Professional/Medical Staff Offices (PSO / MSO) and/or PHOs where applicable for privileged providers to maintain consistent & accurate information regarding physician billing and license numbers.
Coordinate with the UAMS Health Contracting department as needed to ensure providers are appropriately enrolled and linked to managed care contracts.
Correspond with and contact third-party payers regarding enrollment activity policies & procedures.
Assure that time sensitive verifications & expirables used in enrollment process are reviewed regularly and followed up on where needed.
Respond to provider and departmental questions timely and appropriately including Professional Billing Access Epic IT and Finance to ensure provider data is correct and answer enrollment related questions.
Maintain professional competency and understanding of payer enrollment & credentialing requirements.
Review reappointment dates for ACH & not privileged providers and ensure that all provider reappointments are compliant with Departmental Policies and procedures.
Adhere to Departmental confidentiality standards.
Cross train within the Department to support Out of State Medicaid Enrollment Payer enrollment and other administrative functions as needed.
Maintain productive work relationships with all internal and external contacts including Physicians Allied Health Professionals Department Business Managers Service Line Administrators and designated contact person and Medical Staff leadership.
Participate in continuing education programs offered by the System and external programs as appropriate
Accurately enter data into the credentialing/enrollment database.
Assure that all information in the credentialing/enrollment databases is current complete and accurate.
Provide reports as scheduled and requested.
Maintain accurate records of the status of all applications at all times.
Maintain claim eligibility table in Epic and processes enrollment issues located in Epic work queues.

Salary Information:

Required Documents to Apply:

Special Instructions to Applicants:

This position is subject to pre-employment screening (criminal background drug testing and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential non-discriminatory manner consistent with state and federal law.

Constant Physical Activity:

Frequent Physical Activity:

Occasional Physical Activity:

Benefits Eligible: