Easter Seals Jobs

Req #: 242415

Department: FACULTY PRACTICE PLAN SERVICES (UWP)

Posting Date: 01/07/2025

Closing Info: Open Until Filled

Salary: $4,517 - $6,776 per month

Shift: First Shift

Notes:

• Choose from top medical and dental insurance programs

• Plan for your future with tax-deferred investing through the UW retirement options

• Enjoy generous vacation and sick leave policies and protect yourself and your family with life and long-term disability insurance.

• Receive UPASS Benefits, which includes free public transportation in the Puget Sound region on participating transit servicesFor detailed information on Benefits for this position, click here. (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-summary-classified-staff-greater-than-half-time-20220908_a11y.pdf)

Faculty Practice Plane Services (FPPS) has an outstanding opportunity for a Provider Enrollment Specialist.

WORK SCHEDULE

• 40 hours per week

• Day Shift

• This position is Remote POSITION HIGHLIGHTS The Provider Enrollment Specialist is responsible for coordinating and maintaining the process for credentialing and enrollment of all UWP Providers. This individual will build and maintain relationships with an ongoing understanding of requirements (including provider enrollment with Medicare, Medicaid, Out of State Medicaid, Commercial, etc…; review payor policies on enrollment via payor portal) related to pro fee credentialing and enrollment of each associated discipline within the UW School of Medicine. The employee will establish and maintain efficient payer and provider relations and liaise between payers, clinics and academic departments to assure participating status of providers. PRIMARY JOB RESPONSIBILITIES

• Establish and maintain efficient and service-oriented process for credentialing and enrollment across functional and organizational boundaries based on customer and supplier needs and requirements.

• Work with departmental managers and various disciplines at each facility to maintain standards for acceptable credentials for providers within the discipline, within overall standards defined by Allied Health Practitioner Credentialing Committee at each facility. In conjunction with Director of Contracting, develop standards for new provider types as necessary

• Work claim edit work queues and add PINs/riders to EPIC to ensure claims are released for payment.

• Conduct follow-up on claims that are rejected or denied due to practitioner enrollment issues.

• Respond to inquiries, customer questions and concerns from UWP staff, providers, patients, payers, and regulatory agencies.

• Assess provider specialty and determine requirements to be enrolled with designated payor. Review provider information within MSOW, Epic, and Epic Text to ensure correct information is submitted.

• Perform payor audits to ensure provider information is up to date and valid on a month to month basis REQUIRED POSITION QUALIFICATIONS Bachelors degree or equivalent or equivalentAND2 years experience in a medical group practice, hospital, or insurance setting or equivalent ABOUT FACULTY PRACTICE PLAN SERVICES UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital. Teamwork. Community. Opportunity. Become part of our team. Join our mission to make life healthier for everyone in our community. 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 tomorrow’s physicians, scientists and other health professionals.All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, 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 our team. (https://www.uwmedicine.org/jobs) Join our mission to make life healthier for everyone in our community.

University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.