Provider Jobs in Houston tx

Provider Services Specialist- Credentialing & Provider Enrollment

Location : Texas Medical Center-Houston, Texas

Category : Healthcare Support Services

McGovern Medical School at UTHealth Houston

Requisition # : 240002S2

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

Once you join us you wont want to leave. Its because we reward our team for the excellent service they provide. Our total rewards package includes the benefits youd 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 youll 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 :

Responsible for submitting license updates to Medicare and Medicaid. Processes licensure list from UT System for update.

Processes Blue Cross and Blue Shield and Railroad Medicare applications.

Prepares worksheets for Medicaid submission.

Assists with preparation for monthly credentialing meeting.

Assists with preparing the Medicare Opt-Out Listing.

Runs reports as needed and assists in preparation for audits.

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.

Regularly communicates information on expired licensure to all departments.

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.

If you are looking for a great healthcare career in Houston, visithttp : / / go.uth.edu / careers!

University of Texas Health Science Center at Houston (UTHealth)

Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houstons Health University and Texas resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth Houston is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth Houston includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The universitys primary teaching hospitals are Memorial Hermann-Texas Medical Center, Childrens Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.

UTHealth Benefits

UTHealth Houston offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Houston Office of Benefits Website.

https : / / www.uth.edu / benefits /

Equal Employment Opportunity Statement

UTHealth Houston is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth Houston policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.

UTHealthHoustonhas adopted a policy consistent with CMS regulations to protect our patients and university community from exposure to COVID-19. This policy affects all employees, residents, fellows, students, contractors, new hires, visiting scholars program participants, adjunct faculty, and volunteers who work, train, or collaborate at the John S. Dunn Behavioral Science Center.

In addition, all UTHealthHouston???????employees who are assigned to work at a location that is subject to the affiliated partners hospital, clinical offices, or agency are required to abide by UTHealthsHoustonrules and regulations, as well as the affiliates rules and regulations, including COVID-19 vaccination and safety requirements.

Work location is based on the needs of the department and may be adjusted.