Spclst Enrollment

Initiates and processes faculty practice provider enrollments/re-enrollments including, but not limited to preparing, sending and receiving related correspondence; assisting in resolving denials or rejections; ensuring proper payment; and providing related information to Information Systems.

Responsibilities Include:

  • Initiates and tracks enrollment and re-enrollment for new faculty practice providers with government and faculty practice contracted managed care carriers.
  • Prepares, sends and receives correspondence to providers, clinical department personnel, managed care/government carriers and others to obtain required credentialing information for government/managed care enrollment.
  • Assists the System FPP business office in resolving provider related denials and rejections, and ensures proper payment for services.
  • Communicates billing provider numbers and effective dates to the FPP Information Systems to ensure the billing system is updated.
  • Performs related duties, as required.

Qualifications
  • High School Diploma or equivalent, required.
  • Prior experience working for a government institution, managed care carrier or physician practice processing physician enrollments, preferred.
  • Knowledge of physician enrollment with government/managed care organizations.
  • Sound organizational, time management, communication, customer service and Microsoft Word/ Excel skills.
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