Provider Enrollment Specialist (Office Specialist UMP)

State of Illinois • Springfield, MO

11d • Hybrid

About The Position

The Department of Healthcare and Family Services, Provider Enrollment Unit is seeking to hire a motivated individual to join our team as a Provider Enrollment Specialist. This position will conduct complex, specialized duties to track, enter and review correspondence from medical stakeholders, partners and the public. Additionally, the position will review rejected claims from medical providers and Medicare crossover rejections. The ideal candidate will possess strong organizational, communication, personal relations and time management skills. HFS values employees with different backgrounds, life experiences, and talents. Employees receive a robust benefit package including: Monday-Friday work schedule Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.) Health, Life, Vision, and Dental Insurance Pension Plan Paid Parental Leave Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare) Employees earn (12) paid Sick Days annually. New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually. Employees earn (3) paid Personal Days annually. (13-14) paid holidays annually (based on start date) If you are seeking a new opportunity, and this position appeals to you, please apply today! At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained. HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.

Requirements

• Requires knowledge, skill and mental development equivalent to two (2) years of secretarial/business college and one (1) year of office experience, or completion of high school and three (3) years office experience, or three (3) years of independent business experience
• Qualifying state employees, in the employee Upward Mobility Program, may complete combinations of specific proficiency tests and training programs leading to a certificate of proficiency in lieu of the stated requirements for this classification
• Requires completion of a background check and self-disclosure of criminal history
• Requires the ability to utilize and maintain state issued equipment such as a laptop

Nice To Haves

• strong organizational, communication, personal relations and time management skills

Responsibilities

• Serves as a Provider Enrollment Specialist by conducting complex, specialized technical duties in the automated procedures for tracking, entering and reviewing correspondence
• Researches and identifies entry problems associated with medical providers rejected claims and Medicare crossover rejections from Medical Management Information Systems (MMIS)
• Receives and reviews correspondence from medical providers to determine action for updating and correcting the Non-Institutional/Institutional Unit’s applications
• Receives, reviews and sort documents provided by medical providers for entry into the imaging application
• Responds to inquiries from providers requesting information/application on becoming a provider in the Illinois Medical Assistance Program
• Attends meetings
• Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above

Benefits

• Health, Life, Vision, and Dental Insurance
• Pension Plan
• Paid Parental Leave
• Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
• 12 paid Sick Days annually
• 10 paid Vacation Days their first year of service and can earn up to 25 paid Vacation Days annually
• 3 paid Personal Days annually
• (13-14) paid holidays annually (based on start date)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree