Houston, Texas, USA
3 days ago
Provider Services Specialist- Credentialing & Provider Enrollment

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:  

100% paid medical premiums for our full-time employees   Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)  The longer you stay, the more vacation you’ll accrue!  Longevity Pay (Monthly payments after two years of service)  Build your future with our awesome retirement/pension plan! 

We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as... 

Free financial and legal counseling  Free mental health counseling services  Gym membership discounts and access to wellness programs  Other employee discounts including entertainment, car rentals, cell phones, etc.  Resources for child and elder care  Plus many more! 

Position Summary:

Coordinates, monitors and completes the enrollment process for all providers.

Position Key Accountabilities:

1. Responsible for submitting license updates to Medicare and Medicaid.  Processes licensure list from UT System for update.2. Processes Blue Cross and Blue Shield and Railroad Medicare applications.3. Prepares worksheets for Medicaid submission.4. Assists with preparation for monthly credentialing meeting.5. Assists with preparing the Medicare Opt-Out Listing.6. Runs reports as needed and assists in preparation for audits.7. Prepares files and processes applications for initial and recredentialing, including data entry into systems for all departments.  Updates licensure on all providers in the system.8. Regularly communicates information on expired licensure to all departments.9. Performs other duties as assigned.

Certification/Skills:

Experience with Microsoft Office (including Outlook, Word, Excel, and PowerPoint), databases, internet, phone systems.  

 

Minimum Education:

High School Diploma or equivalent.

Minimum Experience:

None.  May substitute required experience with equivalent years of education beyond the minimum education requirement.

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

 

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

Residency Requirement:

Employees must permanently reside and work in the State of Texas.

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