Temp - Administrative - Managed Care Clerk (Days) Dallas, TX

Ensures provider profiles, including name changes, practice locations, attestations and any other required payor data are up to date in the appropriate systems and/or databases (i.e., CAQH, PECOS, etc.). Supports the payor and provider enrollment processes by working collaboratively with key stakeholders to ensure provider information is current and accurate.

Title: Temp - Administrative - Managed Care Clerk (Days) Dallas, TX

Description: REMOTE POSITION. ONLY CONSIDERING CANDIDATES LIVING IN TEXAS.

Responsibilities

• Supports the payor and provider enrollment processes by working collaboratively with key stakeholders to ensure provider information is current and accurate.
• Assists Managed Care, Provider Enrollment and other Parkland Health teams with synchronization of provider data among multiple systems.
• Works collaboratively with Parkland Health teams to resolve issues related to provider information in a timely manner.
• Performs Provider Enrollment and re-attestation activities for Medicare and Medicaid, through the PECOS and State Medicaid system.
• Ensures provider profiles, including name changes, practice locations, attestations and any other required payor data are up to date in the appropriate systems and/or databases (i.e., CAQH, PECOS, etc.).
• Participates on special projects or audits as requested.
• Assist with data reconciliation as requested.

Displays professional accountability by:

• Adhering to Parkland Health policies, procedures, and guidelines.
• Completing assigned training and annual health requirements timely.
• Recognizing and communicating ethical and legal concerns through the established channels of communication.
• Demonstrating accountability and responsibility by independently completing projects and assignments on time and providing timely responses to requests for information.
• Maintaining confidentiality at all times.
• Performing other work as requested that is reasonably related to the employee's position, qualifications, and competencies.
• Responsible for supporting the insurance credentialing process and provider enrollment by ensuring accurate provider information is maintained.