Provider Enrollment Specialist; Office Specialist, UMP

Provider Enrollment Specialist (Office Specialist, UMP)

We continually strive for a workforce that reflects the growing diversity within the State of Illinois. A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our ability to most effectively serve the public. Bilingual skills welcome.

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.

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.

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 Individual Practitioner 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