What are the responsibilities and job description for the Provider Enrollment Specialist position at University of California - Los Angeles Health?
Description
Take on a key administrative role within an award-winning health system. Elevate the operational efficiency of a world-class healthcare leader. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new and existing enrollment applications, revalidation, terminations, ordering, referring, e-prescribing, and reactivation applications for Ronald Reagan-UCLA Medical Center, Santa Monica-UCLA Medical Center, UCLA Medical Group, Durable Medical Equipment, and Ambulatory Surgical Centers. You'll coordinate the completion of applications with physicians and monitor expiring CLIAs, revalidations, and terminations. You'll also maintain enrollment in the ECHO One App database.
You will:
- Facilitate government enrollment application requests for new physicians Review applications for completeness/accuracy
- Notify enrollment providers of documentation requirements
- Track and monitor completion of applications by physicians/practitioners in ECHO Database
- Audit completed files
- Track expired CLIAs, AIA enrollments, provisionally paneled CCS enrollments, mammograms, and re-enrollments
Salary Range: $30.36 - $43.49/Hourly
Qualifications
We are seeking a self-motivated, highly organized, analytical professional with:
- AA Degree and/or equivalent experience/training
- Experience in Provider Enrollment Required. Minimum 2 years' experience and knowledge with Medicare, MediCal, out of State Medicaid, CCS, AIA, Medicare RR, and Department of Labor
- Required experience with CMS, PECOS and PAVE portals.
- Required experience with out of state Medicaid.
- Knowledge of submitting applications for DME, ASC, Group and Individual enrollments electronically.
- Experience with Echo One App and Care Connect Preferred
- Preferred Experience with NPPES enrollments
- Preferred experience with out of state Medicaid
- Excellent research, analytical, and troubleshooting skills
- Knowledge of Adobe and Microsoft Outlook, Word, and Excel Software programs
- Ability to adjust working hours and, if necessary, work overtime to meet the needs of the Office and reporting
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 270 community clinics throughout Southern California. We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. For the complete University of California nondiscrimination and affirmative action policy, see: UC Nondiscrimination & Affirmative Action Policy.