Provider Enrollment Specialist
Share
Job Location:
Miami-Dade County, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
27 days ago
Vacancies:
1 Vacancy
Job Summary
Current Employees:
If you are a current Staff Faculty or Temporary employee at the University of Miami please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet please review this tip sheet.
The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Provider Enrollment Specialist to work in Miami FL.The Provider Enrollment Specialist develops and implements a comprehensive provider enrollment process which identifies well-defined policies and procedures and criteria used to enroll the practitioners who practice within the Universitys delivery system. The incumbent also maintains pre-defined productivity and performance measures and collaborates with staff to ensure a unified approach to the delivery of services. An individual in this position supports the organizations mission of improving physicians profitability and business processes.
CORE JOB FUNCTIONS
Develops and implements provider enrollment processes with healthcare insurance companies.
Analyzes and uses discretionary judgment in implementing Medicare provider enrollmentannouncements and new information.
Monitors the provider enrollment process to assure accuracy and timeliness.
Coordinates and expedites the flow of completed enrollment forms to the carrier using a series of activities designed for the collection and submissionof supporting documentation.
Collaborates with various departments and administrative offices.
Assists with the loading process of contracted health plans including activities related to notification and provider enrollment troubleshooting.
Collaborates with professional associations and personnel within and outside the University who promote knowledge and quality standards for the administrative management of healthcare professionals.
Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Bachelors degree in relevant field
Minimum 5 years of relevant experience
Ability to maintain effective interpersonal relationships.
Ability to communicate effectively in both oral and written form.
Skill in completing assignments accurately and with attention to detail.
Commitment to the Universitys core values.
Ability to work independently and/or in a collaborative environment.
Proficiency in computer software (i.e. Microsoft Office).
Any relevant education certifications and/or work experience may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical dental tuition remission and more.
UHealth-University of Miami Health System South Floridas only university-based health system provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center we are proud to serve South Florida Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching research and patient care. Were the challenge youve been looking for.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full timeEmployee Type:
StaffPay Grade:
H5Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
