Managed Care Enrollment Specialist | UMC Physicians

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**Join UMC Physicians: Where Employee Satisfaction Soars at 98%!**

Are you ready to be part of a winning team? UMC Physicians is proud to announce an exceptional opportunity for dynamic individuals seeking a fulfilling career in healthcare. Join us and become a vital part of our thriving organization where employee satisfaction is not just a goal, it's a reality!

Position Title: Managed Care Enrollment Specialist
Location: Corporate Office/City Bank Building

Job Description:
UMC Physicians is seeking a talented and detail-oriented Managed Care Enrollment Specialist to join our healthcare team. The Managed Care Enrollment Specialist position is a role focused on enrolling and revalidating healthcare providers with various managed-care payers, including Medicare and Medicaid. This role is crucial in ensuring that providers are properly credentialed to deliver high-quality care. The specialist will also facilitate communication between external organizations and providers, streamlining processes to enhance efficiency in the healthcare enrollment system.

Availability Requirements:

• 8am-5pm, Monday-Friday
• Full time: Ability to work 40 hours

Benefits: UMC Physicians offers a comprehensive benefits package to eligible full-time employees. Benefits include:

• Paid Time Off
• Sick Pay
• Medical, Dental and Vision Insurance
• Employer Paid Group Life and Voluntary Life Insurance
• Short Term Disability Insurance
• Long Term Disability (after 2 years of employment)
• Critical Illness, Accident and Cancer Insurance
• Health Care and Dependent Care Spending Accounts
• 401K Retirement Plan with Company Match
• Employee Assistance Program

Note: Some benefits require an employee contribution to participate.

Responsibilities:

• Compile application documents and submit payer initial enrollment and revalidation

applications in various formats

• Monitor, compile, and maintain accurate enrollment records for all providers, and communicate

updates to internal stakeholders

• Create timely and accurate reports for managed care payers, and perform routine auditing of

payer records

• Ensure payers have the most accurate credentials, services, and practice locations for providers

by coordinating appropriate provider data modifications

• Act as a liaison for external privileging with other organizations to meet contractual obligations
• Maintain department standards while adhering to all required regulations

Qualifications:

• Minimum of 3-5 years of experience in managed care enrollment
• Excellent attention to detail and organizational skills.
• Effective communication and interpersonal abilities.
• Ability to work independently and collaboratively.
• Experience with healthcare information systems and databases is preferred.

Environmental Conditions:
Works in well-lighted, heated and ventilated building. Exposure to blood borne pathogens are of low risk.

Physical Requirements:
Work is of medium demand; walking and sitting most of the time while on duty. Adequate hand/eye coordination and fine motor skills required. Visual acuity and writing skills necessary for factual documentation. Hours may vary to accommodate the needs of the corporation.

Limitations and Disclaimer
The above job description is meant to describe the general nature of the work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.
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