Provider Enrollment Specialist – Office Specialist, UMP

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Provider Enrollment Specialist conducting complex duties to track and review medical correspondence. Joining the Illinois Department of Healthcare and Family Services to assist providers with application processes.

Posted 7/22/2026full-timeSpringfield • Illinois • 🇺🇸 United StatesJunior💰 $4,568 - $6,133 per monthWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing correspondence and inquiries from medical stakeholders while ensuring compliance with the Illinois Medical Assistance Program. Proficient in reviewing and processing medical claims and rejections with attention to detail and accuracy.

Highest-signal resume keywords

Medical Claims ReviewCorrespondence ManagementOffice ExperienceProvider Inquiry ResponseIllinois Medical Assistance Program Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingData EntryRecord KeepingOffice AdministrationBusiness Communication

Soft Skills

Attention to DetailProblem SolvingInterpersonal Communication

Certifications & Qualifications

Certificate of Proficiency

Industry Keywords

Medical StakeholdersMedicareProvider EnrollmentRejection ReviewOffice Procedures

About the role

Key responsibilities & impact

Conduct complex, specialized duties to track, enter and review correspondence from medical stakeholders, partners and the public.
Review rejected claims from medical providers and Medicare crossover rejections.
Respond to inquiries from providers requesting information/application on becoming a provider in the Illinois Medical Assistance Program.

Requirements

What you’ll need

Requires 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 employee Upward Mobility Program, may complete combinations of specific proficiency tests and training programs leading to a certificate of proficiency in lieu of the stated requirements for this classification

Benefits

Comp & perks

Health, Life, Vision, and Dental Insurance
Pension Plan
Paid Parental Leave
Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
Employees earn (12) paid Sick Days annually.
New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
Employees earn (3) paid Personal Days annually.
(13-14) paid holidays annually (based on start date)