Title: Provider Enrollment Specialist

Department Org: Medical Dir Office - 108930

Employee Classification: B5 - Unclass Full Time AFSCME HSC

Bargaining Unit: AFSCME HSC

Primary Location: HSC H

Shift:  1

Start Time:  8:00   End Time:  4:30

Posted Salary: 20.79-26.47

Float: False

Rotate: False

On Call: False

Travel: False

Weekend/Holiday: False

Job Description:

Under the direction of the Provider Enrollment Supervisor, responsible for enrollment of University of Toledo Physicians, LLC providers for the UTP, LLC delegated carriers. Primary responsibilities include taking a new provider application from receipt to inclusion in directory and making ongoing updates. This involves accurate and timely entry of provider data, including provider applications and contract information, status changes, payee changes. It also includes verification of all the credentialing criteria for practitioners that have applied to the network through initial credentialing, re-credentialing, and following up with practitioners as needed to obtain information for the credentialing process or as a result of mail being returned undelivered to UTP.

Minimum Qualifications:

• High school diploma or equivalent; Associate’s degree preferred.
• 1-2 years of experience in a business environment.
• Knowledge of Microsoft Access, Word, and Excel necessary.
• Experience working with a credentialing database preferred.
• NAMSS certification preferred (CPCS). If not currently certified, the successful candidate must be eligible to obtain NAMSS certification within 2 years of being hired.
• Credentialing experience required.
• Demonstrated competence in core credentialing concepts.
• Organized, analytical, detail- and deadline-driven. Strong multitasking and customer service skills.

Preferred Qualifications:

Conditions of Employment:

Equal Employment Opportunity Statement:

The University of Toledo is an equal opportunity, affirmative action employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation. 

The University is dedicated to the goal of building a culturally diverse and pluralistic faculty and staff committed to teaching and working in a multicultural environment and strongly encourages applications from women, minorities, individuals with disabilities, dual-career professionals and covered veterans.

The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact the HR Compliance at  hrcompliance@utoledo.edu or 419-530-4747 between the hours of 8:30AM and 5:00PM or apply online for an accommodation request. 

Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the Main Campus of the University of Toledo.