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Senior Provider Enrollment Coordinator
University of Arkansas System. Maintain and support electronic enrollments for EDI .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing electronic enrollments and payer revenue cycle processes, ensuring compliance with third-party payer rules and regulations. Proficient in collaborating with various healthcare teams and utilizing systems like EPIC and Echo Credentialing System for effective problem resolution and data integrity.
Highest-signal resume keywords
Electronic Data Interchange (EDI)Payer Revenue Cycle ManagementEPIC System ProficiencyProblem-Solving SkillsHealthcare Management Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payer EnrollmentClaims ProcessingBilling ProceduresData AnalysisReport DevelopmentProcedure ImplementationEnrollment AutomationCredentialing ProcessesRegulatory ComplianceData Integrity Management
Soft Skills
Strong Communication SkillsMeticulous AccuracyCollaborationGuidance and SupportResearch Skills
Tools & Technologies
Echo Credentialing SystemEPF Billing WebsiteOut-of-State Medicaid DatabaseOn Demand FormsInsurance Websites
Industry Keywords
Healthcare ManagementRevenue CyclePayer Rules and RegulationsEnrollment ProcessesClaims
About the role
Key responsibilities & impact- Maintain and support electronic enrollments for EDI
- Complete payer and/or clearinghouse enrollment forms through online portals
- Ensure UAMS providers and groups/clinics are enrolled and connected accurately and timely
- Collaborate with Epic IT, Payment Posting, Revenue Cycle, credentialing/PSO teams, external vendors, and payors
- Research RA/EOBs and contact payors or other sources to support analysis
- Review and work Epic work queues timely
- Resolve complex enrollment-related account issues using EPIC, Echo Credentialing System, insurance websites, EPF, FGP Billing Website, Out-of-State Medicaid database, and ON DEMAND FORMS
- Maintain knowledge of third-party payer rules and regulations and resolve problem charges
- Provide guidance and support for department workflow and daily operations
- Establish, review, and implement procedures and timelines
- Prepare projections, specialized research, historical information, and operating procedure updates
- Develop procedures and processes with Professional Staff Offices at University Hospital and Arkansas Children’s Hospitals
- Coordinate with physicians, healthcare providers, insurance companies, COM departments, Credentialing, and UAMS Professional Billing Office
- Oversee initial enrollment, recertification/revalidation, and expirables management
- Develop reports and automate enrollment processes where possible
- Manage status reports, renewals, and enrollment updates
- Perform other management, research, computing, analysis, and assigned duties
Requirements
What you’ll need- 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
- Strong problem-solving and communication skills
- Meticulous accuracy required to support data integrity and analysis
- Proof of legal authority to work in the United States on the first day of employment
- Subject to pre-employment screening, including criminal background check, drug testing, and/or education verification
Benefits
Comp & perks- Medical, Dental and Vision plans available for qualifying staff and family
- Holiday, Vacation and Sick Leave
- Education discount for staff and dependents (undergraduate only)
- 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