Provider Enrollment Specialist (Office Specialist UMP)

at Department of Healthcare and Family Services in Springfield, Illinois, United States Job Description Essential Functions Under general direction, 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 Minimum Qualifications 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 Conditions of Employment 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 The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description To view full details and how to apply, please login or create a Job Seeker account