Administrative Specialist – Provider Enrollment Unit

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UCLA Health
Published
October 22, 2019
Location
Los Angeles, California
Job Type

Description

Administrative Specialist – Provider Enrollment Unit

Summary Information
Posting Category:
Clerical/Administrative
Work Location:
USLos Angeles, CA
UCLA Title: Admin Specialist
Job #: 4177
Work Hours:
Monday-Friday, 7AM-3:30PM; hours may vary
Job Type: career
Duration: indefinite
Salary Range:
$20.89 – $41.37 Hourly
Layoff Referral Deadline:
10/28/2019
Bargaining Unit:
99
Posted Date:
October 21, 2019

Overview

You can make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.

Play a vital role within a world-class health organization. Advance our compassionate, award-winning care. Take your career to the next level. UCan do all this and more at UCLA Health.

In this position, you will enroll and maintain government payors for California and possible out of State enrollments. Coordinate completion of applications with physicians and liaison with CMS, DHCS, CCS and AIA administrators at each payor to ensure timely processing. Monitor expiring CLIA’s, Revalidations, Terminations. Maintain enrollment ECHO One App database. Coordinate processing of Bill Areas, Pat Records, Fee Schedules, and suspended load ready files requests, as needed. This position serves as the point-of-contact for all provider enrollment related questions. Documents and records all related information in the Provider Enrollment system and other applicable internal systems. Maintains copies of current state licenses, DEA certificates,
malpractice coverage and any other required credentialing documents for all providers. Strong attention to detail, balanced with the ability to produce a high output of accurate applications, is essential to this role.

You will be accountable for all aspects of provider enrollment to ensure provider data is loaded appropriately in all relevant systems the first time. Accountable for directly entering and updating provider data into the PECOS, PAVE and Provider Enrollment Databases. Accurately perform review of new enrollment files for deficiencies. Ensure third party payor provider enrollment is done in a timely and accurately in order to receive reimbursement. Responsible for the on-going maintenance of existing providers including but not limited the submission of maintenance forms to update personal and practice demographic data for providers and billing updates. Accountable for submitting termination requests to all government payors in a timely manner. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Other duties, as assigned.

UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, UCan at UCLA Health.

UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

 

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