Provider Enrollment Specialist – Office Specialist UMP

• Conduct complex, specialized technical duties in automated procedures for tracking, entering, and reviewing correspondence
• Research and identify entry problems associated with medical providers' rejected claims and Medicare crossover rejections from MMIS
• Receive and review correspondence from medical providers to determine actions for updating and correcting Non-Institutional/Institutional Unit applications
• Receive, review, and sort documents provided by medical providers for entry into the imaging application
• Respond to provider inquiries requesting information/application on becoming a provider in the Illinois Medical Assistance Program
• Attend meetings
• Perform other duties as required or assigned within the scope of the position

• 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 Upward Mobility Program may complete specified proficiency tests and training programs leading to a certificate of proficiency in lieu of the stated requirements
• Completion of a background check and self-disclosure of criminal history
• Ability to utilize and maintain state-issued equipment such as a laptop
• Must be currently authorized to work in the United States on a full-time basis
• Must apply electronically through the  website
• UMP contractual-rights applicants must apply internally and upload a copy of the UMP grade notice

Demonstrates expertise in managing correspondence and claims processing within the Illinois Medical Assistance Program, with strong organizational skills and attention to detail in handling medical provider applications and inquiries.

• Claims Processing
• Medical Provider Correspondence
• Office Experience
• Data Entry
• Problem Solving

• Data Entry
• Claims Processing
• Document Review
• Correspondence Management
• Application Updating

• Attention to Detail
• Organizational Skills
• Communication Skills

• Certificate of Proficiency

• Illinois Medical Assistance Program
• Medicare Crossover Rejections
• Non-Institutional Unit
• Institutional Unit

• Imaging Application
• State-Issued Equipment