Provider Enrollment Analyst 1

Baylor Scott & White HealthTemple, TX
4d

About The Position

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Serves as a team member in completing facility and group enrollment applications. Tracks the flow of enrollment information throughout the Baylor Scott & White System and to government and commercial entities. Manages the computerized operations of the centralized enrollment database system for Central and North Texas. This includes data entry, creating reports, and maintaining software.

Requirements

  • H.S. Diploma/GED Equivalent
  • 1 Year of Experience
  • Excellent computer skills (MS Office, database maintenance).
  • Proficiency in working with computerized databases.
  • Proven organizational skills.
  • Autonomous work management skills.
  • Ability to function in a dedicated role with a strong emphasis on in-depth research
  • Ability to adjust to continuous process changes

Nice To Haves

  • MD Staff
  • NPPES
  • Novitas Solutions
  • PECOS
  • Medicaid PEMS Portal

Responsibilities

  • Completes applicable applications and enters data into the enrollment database.
  • Obtains necessary documentation to accompany application submission to ensure applications are completed as required.
  • Communicates with the facility and representatives to ensure critical information is obtained or relayed about the submitted application.
  • Scans and files or e-mails completed documents to appropriate contacts in a timely manner.
  • Maintains records of all changes to facility or group status and demographics, and communicates to appropriate staff/departments.
  • Plans and develops supporting documentation (agendas, minutes, reports, workflows, policies, etc.) as assigned.
  • Follows departmental expiring document policy to ensure proper notification of expirations. Accesses sources to obtain or confirm updated documents. Enters renewal information in the database. Files a hard copy in the paper file and an electronic copy in the facility/group enrollment electronic file.
  • Identifies and designs custom report needs for use in the department, and to fulfill data requests from others.
  • Prepares scheduled and ad hoc reports for both internal and external customers according to established timelines and distribution lists.
  • Uses database utilities to find data or structural integrity issues. Reports potential issues to the department manager or technical support staff.
  • Reports product errors and user questions to vendor, and is a point of contact for bug corrections and user correspondence.
  • Performs other position appropriate duties as required in a competent, professional, and courteous manner.

Benefits

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1
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