What are the responsibilities and job description for the Payer Credentialing Specialist, Revenue Cycle, UT Health Austin position at The University of Texas at Austin?
Job Posting Title:
Payer Credentialing Specialist, Revenue Cycle, UT Health Austin
Dell Medical School
All Applicants
40
Non-Exempt
Jan 31, 2025
Expected to Continue
AUSTIN, TX
General Notes
The Revenue Cycle team at the Dell Medical School is seeking a Payer Enrollment Specialist. This position is remote and will require reliable internet access and a suitable workspace free from distractions. Prior approval of a remote work location is required to ensure alignment with UT guidelines.
Purpose
The Payer Enrollment Specialist is responsible for managing the enrollment process for healthcare providers within the clinics. This role involves coordinating with various insurance payers, ensuring accurate documentation, and maintaining compliance with regulatory requirements to facilitate seamless provider participation in insurance networks. The Payer Enrollment Specialist plays a crucial role in optimizing revenue cycles and enhancing patient access to care.
Responsibilities
High school diploma, GED, and seven (7) years of related clinical or healthcare experience or Bachelor’s degree and three (3) years of experience in payer enrollment or credentialing. Proficient in working with CMS Identity & Access Management (I&A), PECOS (Provider Enrollment, Chain, and Ownership System), and CAQH (Council for Affordable Quality Healthcare). Strong ability to understand and follow directions, while developing and tracking implementation plans. Effective verbal and written communication skills with payers, providers, and clinical operations teams. Ability to establish and maintain effective working relationships with all individuals. Commitment to maintaining the confidentiality of provider information. Proficient in using computers, with a working knowledge of Microsoft Office, especially Excel and PDF. Capable of functioning in a fast-paced environment and adapting to changing assignments while multitasking. Demonstrated problem-solving skills related to billing and credentialing issues.
Relevant education and experience may be substituted as appropriate.
Preferred Qualifications
Previous experience working with a credentialing software.
Salary Range
$50,000 depending on qualifications
Working Conditions
Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.
Employment Eligibility:
Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.
Retirement Plan Eligibility:
The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.
Background Checks:
A criminal history background check will be required for finalist(s) under consideration for this position.
Equal Opportunity Employer:
The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.
Pay Transparency:
The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Employment Eligibility Verification:
If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form. You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States. Documents need to be presented no later than the third day of employment. Failure to do so will result in loss of employment at the university.
The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university’s company ID number for purposes of E-Verify is 854197. For more information about E-Verify, please see the following:
Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031.
The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the most recent report here or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.
Payer Credentialing Specialist, Revenue Cycle, UT Health Austin
Dell Medical School
All Applicants
40
Non-Exempt
Jan 31, 2025
Expected to Continue
AUSTIN, TX
General Notes
The Revenue Cycle team at the Dell Medical School is seeking a Payer Enrollment Specialist. This position is remote and will require reliable internet access and a suitable workspace free from distractions. Prior approval of a remote work location is required to ensure alignment with UT guidelines.
Purpose
The Payer Enrollment Specialist is responsible for managing the enrollment process for healthcare providers within the clinics. This role involves coordinating with various insurance payers, ensuring accurate documentation, and maintaining compliance with regulatory requirements to facilitate seamless provider participation in insurance networks. The Payer Enrollment Specialist plays a crucial role in optimizing revenue cycles and enhancing patient access to care.
Responsibilities
- Assemble and submit credentialing application packets, maintaining practitioner files and ensuring confidentiality of all documents.
- Enroll and maintain providers in Medicare, Medicaid, Commercial, and Managed Care payers, including managing NPI applications.
- Collaborate with the Medical Staff Office to ensure current credentialing documents (e.g., CVs, licenses) are maintained.
- Follow up on pending applications, enter data into CAQH profiles, and ensure quarterly re-attestation.
- Build relationships with provider representatives and communicate application statuses to clinic and Revenue Cycle staff.
- Provide reports to payers as per credentialing agreements and address credentialing-related inquiries across departments.
- Coordinate with Revenue Cycle staff on claims denials and participate in payer audits as needed.
- Perform other duties as assigned.
High school diploma, GED, and seven (7) years of related clinical or healthcare experience or Bachelor’s degree and three (3) years of experience in payer enrollment or credentialing. Proficient in working with CMS Identity & Access Management (I&A), PECOS (Provider Enrollment, Chain, and Ownership System), and CAQH (Council for Affordable Quality Healthcare). Strong ability to understand and follow directions, while developing and tracking implementation plans. Effective verbal and written communication skills with payers, providers, and clinical operations teams. Ability to establish and maintain effective working relationships with all individuals. Commitment to maintaining the confidentiality of provider information. Proficient in using computers, with a working knowledge of Microsoft Office, especially Excel and PDF. Capable of functioning in a fast-paced environment and adapting to changing assignments while multitasking. Demonstrated problem-solving skills related to billing and credentialing issues.
Relevant education and experience may be substituted as appropriate.
Preferred Qualifications
Previous experience working with a credentialing software.
Salary Range
$50,000 depending on qualifications
Working Conditions
- May work around standard office conditions
- Repetitive use of a keyboard at a workstation
- Use of manual dexterity
- Resume/CV
- 3 work references with their contact information; at least one reference should be from a supervisor
- Letter of interest
Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.
Employment Eligibility:
Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.
Retirement Plan Eligibility:
The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.
Background Checks:
A criminal history background check will be required for finalist(s) under consideration for this position.
Equal Opportunity Employer:
The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.
Pay Transparency:
The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Employment Eligibility Verification:
If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form. You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States. Documents need to be presented no later than the third day of employment. Failure to do so will result in loss of employment at the university.
The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university’s company ID number for purposes of E-Verify is 854197. For more information about E-Verify, please see the following:
- E-Verify Poster (English) [PDF]
- E-Verify Poster (Spanish) [PDF]
- Right To Work Poster (English) [PDF]
- Right To Work Poster (Spanish) [PDF]
Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031.
The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the most recent report here or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.
Salary : $50,000
