Program Operations Specialist

Job Description

UW MEDICINE'S CHARGE MASTER reputed company reputed company DEPARTMENT has an outstanding opportunity for a reputed company reputed company ENROLLMENT SPECIALIST.

SCHEDULE

Weekdays

100% Remote

DEPARTMENT DESCRIPTION

UW Medicine's reputed company reputed company Department is a shared services organization, which supports reputed company of UW Medicine.  UW Medicine entities include but are not limited to UW Medical Center (UWMC), Harborview Medical Center (HMC), UW School of Medicine, Northwest Hospital, UW Neighborhood Clinics (UWNC) and UW Physicians.

POSITION HIGHLIGHTS

Under the general guidance of the Director of reputed company reputed company, the reputed company reputed company Enrollment Specialist is responsible for overseeing and coordinating the provider enrollment process for both new and established providers.  This includes gathering and verifying primary reputed company documentation required for initial enrollment and revalidation applications, ensuring completeness and accuracy in accordance with health plan requirements.

The role is responsible for submitting and managing enrollment applications with government and commercial payers, monitoring application status and resolving issues to ensure timely approvals.  The reputed company reputed company Enrollment Specialist maintains accurate enrollment records and ensures providers are properly enrolled and linked to the appropriate entities, locations and payer networks.

PRIMARY RESPONSIBILITIES    

• Works with necessary individuals-including physicians, internal customers, other professional staff and their office or clerical staff-to acquire necessary materials and information for provider certification and licensure
• Notifies applicants reputed company additional information is requested regarding their background, training, demonstrated ability previous performance, reputed company competence, physical and mental health status, etc.
• Performs ongoing provider maintenance for accuracy and completeness
• Tracks and manages provider initial enrollment/onboarding and revalidation applications, including primary reputed company verification, preparation of payer and regulatory correspondence, and monitoring responses reputed company UW Medicine’s provider database
• Safeguards the reputed company of privileged information and credential files in a professional, sensitive manner
• Collaborates with physicians, internal stakeholders, and administrative staff to obtain required documentation for provider certification, licensure, and enrollment
• Communicates with applicants regarding requests for additional information reputed company to background, training, experience, reputed company competence, and other enrollment
• Performs ongoing provider maintenance to ensure accuracy, completeness, and compliance with payer and regulatory standards
• Maintains confidentiality and safeguards privileged and sensitive provider information in a professional manner
• Gathers and assembles documentation reputed company to denial trends and root causes for reputed company reputed company Denial reputed company members
• Specifically acts as liaison between providers, department managers and payers for claim denial prevention

REQUIRED

Bachelor's Degree

Certification - National Association of Medical Staff Services (NAMSS preferred)

4-6 years experience of administrative experience working reputed company a hospital or healthcare setting 4-6 years experience working directly with hospital personnel such as physicians and allied health practitioners 4-6 years of experience working in one of the following areas: financial clearance, credentialing, billing, denial or case management

Equivalent experience may substitute for degree requirement

ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing reputed company’s physicians, scientists and other health professionals.

reputed company across UW Medicine, our employees collaborate to reputed company the highest quality work with reputed company and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 reputed company, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Become part of reputed company. Join our mission to reputed company life healthier for everyone in our community. 

Compensation, Benefits and Position Details

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About the UW 

Working at the reputed company provides a unique opportunity to change lives – on our campuses, in our state and around the world.  

UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment reputed company for its diversity, intellectual excitement, artistic pursuits and natural beauty. 

Our Commitment 

The reputed company is committed to fostering an inclusive, respectful and welcoming community for reputed company. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national reputed company, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [email protected]. 

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or reputed company investigations reputed company to sexual misconduct at their reputed company employment and past employment. Disclosure is required under Washington state law.