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GALVESTON COUNTY HEALTH DISTRICT Revenue Cycle Management Enrollment Specialist in Texas City, Texas

**Coastal Health and Wellness is Galveston Countys Community Health Center, with clinics in Texas City and Galveston. We also service TCISD students and employees. First established in 1970 and then called Galveston County Coordinated Community Clinics (4Cs), we provide high quality healthcare to all - offering primary care, prenatal, dental, and behavioral health counseling services.

RCM provides task-based coding, billing, and collection support to CHW and various Galveston County Health District (GCHD) partners. This includes standard, highly reliable, team-oriented, daily work with payors including Medicare, Medicaid, Medicaid Managed Care, Commercial Insurance as well as County Indigent and Self-pay patients in NextGen EPM/EHR/EDR.

The Revenue Cycle Management Enrollment Specialist is a core contributor to the health and integrity of CHWs revenue cycle performance. This team member is responsible for the timely and accurate enrollment of medical providers with all required insurance payers as well as credentialing/re-credentialing of all employed Coastal Health and Wellness physicians and contracted affiliated providers. The functions include but are not limited to initial and re-credentialing applications, and tracking of all applications, primary source verifications, file production and maintenance, presentation at Credentialing Committee, internal and external communication of outcome reporting, liaison with designated payors regarding the enrollment and/or of credentialing/re-credentialing status of providers.

**We can offer you: Excellent Benefits; including an Amazing retirement package, Paid Time Off plans, Affordable Medical Insurance, FREE Life Insurance, FREE Long-Term Disability, FREE Parking and much more! Team Oriented Environment Hourly Rate: $20 actual offer will be commensurate upon related experience and education

**We want you to join our team of professionals! If you meet the criteria listed below, please apply.

Required:

  • Graduation from an accredited high school or equivalent.
  • 2+ years of experience in a medical, dental and/or behavioral health provider licensing, credentials, and payor records.
  • History working with Medicare, Medicaid, and private insurances required.
  • NextGen EPM and FQHC and billing experience preferred.
  • Strong team player who intentionally invests in the development of others and identifies/closes knowledge gaps.
  • Capable and competent time management, multi-tasking acumen
  • Excellent written and interpersonal skills.
  • Bilingual in Spanish preferred.
  • Understanding of medical terminology and coding and billing compliance laws, regulations, policies, and guidelines.

Customer experience-oriented professional with demonstrated performance history and commitment.

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