Provider Enrollment Specialist, Rev Cycle

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY

The Revenue Cycle Department at UT Southwestern Medical Center has a new opportunity available for the role of Provider Enrollment Specialist. This position is responsible for enrolling and maintaining provider information in the billing systems for State and Federal government programs (e.g., Medicare, Medicaid, and/or Children with Special Health Care Needs (CSHCN), and out-of-State Medicaid plans associated with UT Southwestern Medical Center ("UTSW").

The duties will include but are not limited to the following:

Enrolling and maintaining provider information in the billing systems for State and Federal government programs (e.g., Medicare, Medicaid, and/or Children with Special Health Care Needs (CSHCN), and out-of-State Medicaid plans associated with UT Southwestern Medical Center (“UTSW”).

Work with department coordinators to gather accurate information to submit timely provider enrollment applications.

Build relationships with TMHP and Medicare/PECOS to navigate through deficiencies timely.

Experienced with the following Microsoft products: Word, Excel, and PowerPoint.

 Maintain excellent time management skills.

Knowledge of MD Staff is strongly preferred.

Shift: Flex, 8-hour days, Monday through Friday. Additional details to be discussed during the interview.

Work from home (WFH): This is a WFH position. However, candidates must live within the state of Texas.
 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!
  
  EXPERIENCE AND EDUCATION
  
  Required
• Education
  Bachelor's Degree or 
  Associate's Degree or 
  High School Diploma 
   

• Experience
  2 years applicable work experience with Bachelor's Degree. or 
  4 years applicable work experience with Associate's Degree. or 
  6 years applicable work experience with High School Diploma. 
   

JOB DUTIES

• Completes enrollment of all providers/groups for all government programs, such as Medicare, Texas Medicaid, CSHCN, State Medicaid programs outside of Texas and TRICARE.
• Enrolls new clinic and/or department groups to Electronic Data Information and Electronic Funds Transfer systems.
• Updates IDX and Cactus programs of government provider number received. Tracks and logs all enrolling providers on government spreadsheet sending it to all clinical departments.
• Analyzes various information systems EPIC, IDX Provider Edit reports and Provider Information Unit enrollment status reports.
• Resolves edit issues from Billing Operations department pertaining to enrollment.
• Makes recommendations to management regarding billing enrollment administration and maintenance to improve effectiveness and efficiency of provider billing environment and re-enrollment.
• Acts as liaison for Provider Enrollment Unit with other billing and/or clinical departments and with appropriate government agencies in support of group and provider enrollment and maintenance.
• Assists with implementation of projects regarding provider enrollment and re-enrollment, maintains provider billing enrollment information and units' provider enrollee filing system. Assists other UTSW Health System departments on an as needed basis.
• Trains new staff on maintenance of IDX, Cactus and EPIC system; billing enrollment application processing guidelines; department policies and procedures; and policies and producers used by federate and state program agencies.
• Performs other duties as assigned

SECURITY AND EEO STATEMENT

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

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.