Senior Provider Enrollment Coordinator

Closing Date:

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 $50,000
• 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 the Apply 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.

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.

Department's Website:

• Bachelor's 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
• Associate's 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 department's 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 Children's 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:

Salary Information:

Required Documents to Apply:

Please contact askrecruitment@uams.edufor any recruiting relatedquestions.

All application materials must be uploaded to the University of Arkansas System Career Sitehttps://uasys.wd5.myworkdayjobs.com/UASYS

Please do not send to listed recruitment contact.

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.