Senior Provider Enrollment Coordinator
Little Rock, AR - USA
Job Summary
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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.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law including age race color national origin disability religion protected veteran status military service genetic information sex sexual preference or pregnancy. Questions or concerns about the application of Title IX which prohibits discrimination on the basis of sex may be sent to the Universitys Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.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.
For general application assistance or if you have questions about a job posting please contact Human Resources at .
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Summary of Job Duties:
This position will be responsible for the technical processes and requirements of the provider enrollment workflows including group/clinic EDI/ERA/EFT enrollments reporting managing Epic WQs and interfacing with the Epic IT teams to ensure providers are enrolled & linked correctly in accordance with revenue cycle build requirements. The Senior Provider Enrollment Coordinator will provide project management support related to the oversight of provider enrollment work processes including creation/implementation of policies processes & workflows to ensure providers are enrolled with payers accurately & timely; must be able to manage & prioritize multiple tasks/priorities that support the provider enrollment processes; and will work closely with the Epic IT team revenue cycle team and credentialing/PSO teams at UAMS ACH & ACNW as well as external vendors/payors.
Qualifications:
- Bachelors degree plus two (2) years of experience in healthcare or healthcare management including experience in payer revenue cycle billing claims and/or Electronic Data Interchange (EDI) or
- Associates degree plus four (4) years of experience in healthcare or healthcare management including experience in payer revenue cycle billing claims and/or EDI or
- High School diploma/GED plus six (6) years of experience in healthcare or healthcare management including experience in payer revenue cycle billing claims and/or EDI required.
Knowledge Skills & Abilities:
- Must have strong problem-solving and communication skills.
- Meticulous accuracy required to support data integrity and analysis.
Responsibilities:
- Maintain/support electronic enrollments for EDI.
- Completion of payor and/or clearinghouse enrollment forms (many via online portals) to ensure UAMS providers and/or groups/clinics are enrolled/connected accurately & timely.
- Work closely with Epic IT Payment Posting and other Rev Cycle teams to ensure enrollments are accurate and interface appropriately with other electronic processes. This may involve researching RA/EOBs and/or reaching out to payors/sources to obtain information that assists in analysis.
- Responsible for ensuring Epic WQs are reviewed/worked timely.
- Works accounts to resolution in a manner that sets a standard for other employees. Utilizes numerous systems EPIC Echo Credentialing System Insurance Websites EPF FGP Billing Website Out-of-State Medicaid database and ON DEMAND FORMS to obtain information to resolve issues
- Maintains workload of the exceptionally complex enrollments and/or enrollment-related account issues - which may include billing group enrollment/maintenance high volume payor enrollments/relationships complex account issues related to enrollment referred by other employees for resolution.
- Maintains working knowledge of third-party payer rules and regulations and applies this in resolving problem charges.
- Shares knowledge acquired through account follow-up with Unit Manager and staff.
- Provide guidance & support for the departments workflow and daily operations including problem solving/resolution in Provider Enrollment.
- Assist in establishing reviewing & implementing procedures and timelines.
- Provide projections specialized research historical information and related information and review and update all operating procedures as needed to ensure maximum efficiency within the office.
- Work with Professional Staff Offices at University Hospital and Arkansas Childrens Hospitals to share information and to develop procedures and processes to ensure a smooth and productive flow of information between the offices and to improve the overall services provided.
- Work with physicians other professional health care providers insurance companies COM departments Credentialing UAMS Professional Billing Office and others to ensure that all provider enrollment is completed in an accurate and timely manner.
- Oversee the operational processes (initial enrollment recertification/revalidation & expirables management) required to ensure that UAMS health care providers can bill and collect for professional services.
- Develop & prepare various reports to track Enrollment processes and automate the processes where possible.
- Develop reporting tools manage all related status reports and will manage all renewals and updates for Enrollment. The position will perform other management research computing and analysis work supporting Enrollment.
- Perform other duties as needed or as requested.
Additional Information:
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Please contact for any recruiting relatedquestions.
All application materials must be uploaded to the University of Arkansas System Career Site
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:
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.
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Required Experience:
Senior IC
About Company
UACCB is a two-year, accredited Arkansas community college with on-campus and online classes offering a variety of degrees and technical certificates.