The Provider Enrollment Subject Matter Expert (SME) must:
Interact professionally with providers and ancillary staff to provide appropriate and timely response to inquiries, escalations or concerns regarding provider enrollment and file maintenance for Texas State Health-Care Programs
Monitor the daily operations of enrollment activities to ensure daily inventory requirements are met per contractual obligations.
Act as Subject matter expert and escalation point to resolve issues and continuously look to improve accuracy and the employee experience.
Monitor and review internal and external Quality Assurance results in order to improve daily processing of applications and file maintenance transactions.
Participate and contribute to the development of strategic long and/or short-range goals
Make recommendations to management to improve efficiency/effectiveness of current manual processes.
Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements.
Maintain flexibility to work overtime as dictated by daily production inventory requirements.
Perform other duties as assigned by leadership.