PBS Provider Enrollment Specialist
- Requisition #: 180454
- Department: PBS Operations
- Location: Houston, TX
- Posted Date: 4/28/2026
The Provider Enrollment Specialist supports the Patient Business Services operations within The University of Texas MD Anderson Cancer Center by ensuring that healthcare professionals are properly enrolled, maintained, and compliant with all managed care and governmental payor requirements. The Provider Enrollment Specialist plays a vital role in protecting revenue integrity by enabling accurate provider billing through meticulous enrollment, credentialing coordination, and system maintenance. The department focuses on operational accuracy, regulatory compliance, and collaboration across clinical, billing, and managed care teams to support institutional excellence.
The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. Within this environment, the Provider Enrollment Specialist contributes directly to the organization's ability to deliver care by ensuring providers remain in good standing with payors and internal systems. The Provider Enrollment Specialist collaborates extensively across departments and serves as a trusted resource for enrollment status, documentation, and compliance.
The ideal candidate for the Provider Enrollment Specialist bring experience supporting provider enrollment or credentialing functions, working knowledge of managed care and governmental payors, and familiarity with Epic SER and related databases. A strong fit demonstrates attention to detail, effective written and verbal communication skills, and the ability to manage multiple enrollment workflows while maintaining regulatory compliance and accurate documentation.
Minimum $25.48 - Midpoint $31.73 - Maximum $37.98
Work Location: Hybrid Onsite/Remote
Typical work schedule:Monday - Friday 8am - 5pm.
Why Us?
This role directly supports UT MD Anderson's mission by ensuring providers are fully enrolled and able to deliver care without interruption, safeguarding both patient access and institutional revenue. The Provider Enrollment Specialist offers opportunities to develop deep expertise in managed care operations, Epic systems, and regulatory compliance while working in a collaborative environment that values operational excellence and work-life balance.
• Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.
Responsibilities
Provider Enrollment & Maintenance
• Process and track provider enrollment applications for managed care and governmental payors.
• Monitor and maintain databases and tracking spreadsheets for providers in the enrollment process.
• Ensure providers are enrolled and maintained with Medicare, Railroad Medicare, Texas Medicaid, Tricare/Champ VA, and Blue Cross/Blue Shield of Texas PAR.
• Perform re-credentialing and revalidation activities for all providers.
• Update medical licenses and supporting documentation in compliance with federal and state regulations.
Systems & Data Management
• Maintain Epic SER records and coordinate with PBS Information Services when data impacts claim logic.
• Document all enrollment applications, processes, and status updates.
• Process Transaction Editing System and claim edits within Epic work queues.
• Report outstanding edits related to missing or deactivated provider numbers to management.
• Maintain and support the Provider Participation Database, including all required enrollment data elements.
Coordination & Communication
• Coordinate enrollment information with the Medical Staff Office, Managed Care, Credentialing, and clinical departments.
• Communicate with insurance carriers regarding provider enrollment status using clear verbal and written communication.
• Serve as liaison between Patient Business Services, Medical Staff Office, Faculty Academic Affairs, and Managed Care.
• Respond to clinic inquiries within 24 hours and patient accounting inquiries within 48 hours or less.
• Assist managed care organizations with provider enrollment inquiries.
Reporting & Notifications
• Prepare and distribute monthly internal notifications of new providers within three business days of CCMS meetings.
• Prepare and distribute payor notifications regarding provider additions, deletions, terminations, and changes within three business days of Medical Staff Office notification.
• Obtain quarterly managed care provider rosters and perform manual audits to validate accuracy.
• Resolve roster discrepancies, document outcomes, and update the Provider Participation Database.
• Provide detailed enrollment and billing status reports to internal stakeholders.
Operational Support & Compliance
• Serve as a Notary for provider enrollment documentation.
• Handle routine and timely reporting to payors per delegated credentialing agreements.
• Participate in managed care and Patient Business Services operational meetings.
• Prepare clinical faculty notifications related to enrollment or credentialing issues for leadership review.
• Maintain current knowledge of managed care and governmental enrollment regulations and complete special projects as assigned.
EDUCATION
WORK EXPERIENCE
OTHER REQUIREMENTS: Must pass pre-employment skills test as required and administered by Human Resources.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information
#LI-Hybrid
The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. Within this environment, the Provider Enrollment Specialist contributes directly to the organization's ability to deliver care by ensuring providers remain in good standing with payors and internal systems. The Provider Enrollment Specialist collaborates extensively across departments and serves as a trusted resource for enrollment status, documentation, and compliance.
The ideal candidate for the Provider Enrollment Specialist bring experience supporting provider enrollment or credentialing functions, working knowledge of managed care and governmental payors, and familiarity with Epic SER and related databases. A strong fit demonstrates attention to detail, effective written and verbal communication skills, and the ability to manage multiple enrollment workflows while maintaining regulatory compliance and accurate documentation.
Minimum $25.48 - Midpoint $31.73 - Maximum $37.98
Work Location: Hybrid Onsite/Remote
Typical work schedule:Monday - Friday 8am - 5pm.
Why Us?
This role directly supports UT MD Anderson's mission by ensuring providers are fully enrolled and able to deliver care without interruption, safeguarding both patient access and institutional revenue. The Provider Enrollment Specialist offers opportunities to develop deep expertise in managed care operations, Epic systems, and regulatory compliance while working in a collaborative environment that values operational excellence and work-life balance.
• Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.
Responsibilities
Provider Enrollment & Maintenance
• Process and track provider enrollment applications for managed care and governmental payors.
• Monitor and maintain databases and tracking spreadsheets for providers in the enrollment process.
• Ensure providers are enrolled and maintained with Medicare, Railroad Medicare, Texas Medicaid, Tricare/Champ VA, and Blue Cross/Blue Shield of Texas PAR.
• Perform re-credentialing and revalidation activities for all providers.
• Update medical licenses and supporting documentation in compliance with federal and state regulations.
Systems & Data Management
• Maintain Epic SER records and coordinate with PBS Information Services when data impacts claim logic.
• Document all enrollment applications, processes, and status updates.
• Process Transaction Editing System and claim edits within Epic work queues.
• Report outstanding edits related to missing or deactivated provider numbers to management.
• Maintain and support the Provider Participation Database, including all required enrollment data elements.
Coordination & Communication
• Coordinate enrollment information with the Medical Staff Office, Managed Care, Credentialing, and clinical departments.
• Communicate with insurance carriers regarding provider enrollment status using clear verbal and written communication.
• Serve as liaison between Patient Business Services, Medical Staff Office, Faculty Academic Affairs, and Managed Care.
• Respond to clinic inquiries within 24 hours and patient accounting inquiries within 48 hours or less.
• Assist managed care organizations with provider enrollment inquiries.
Reporting & Notifications
• Prepare and distribute monthly internal notifications of new providers within three business days of CCMS meetings.
• Prepare and distribute payor notifications regarding provider additions, deletions, terminations, and changes within three business days of Medical Staff Office notification.
• Obtain quarterly managed care provider rosters and perform manual audits to validate accuracy.
• Resolve roster discrepancies, document outcomes, and update the Provider Participation Database.
• Provide detailed enrollment and billing status reports to internal stakeholders.
Operational Support & Compliance
• Serve as a Notary for provider enrollment documentation.
• Handle routine and timely reporting to payors per delegated credentialing agreements.
• Participate in managed care and Patient Business Services operational meetings.
• Prepare clinical faculty notifications related to enrollment or credentialing issues for leadership review.
• Maintain current knowledge of managed care and governmental enrollment regulations and complete special projects as assigned.
EDUCATION
- Required: Associate's Degree Business Administration or related field.
- Preferred: Bachelor's Degree Business Administration or related field.
WORK EXPERIENCE
- Required: 5 years Healthcare, insurance, business or managed care to include one year in provider enrollment, billing, clinical or governmental regulations.
- Preferred: provider enrollment experience.
- May substitute required education degree with additional years of equivalent experience on a one.
OTHER REQUIREMENTS: Must pass pre-employment skills test as required and administered by Human Resources.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information
- Requisition ID: 180454
- Employment Status: Full-Time
- Employee Status: Regular
- Work Week: Days
- Minimum Salary: US Dollar (USD) 53,000
- Midpoint Salary: US Dollar (USD) 66,000
- Maximum Salary : US Dollar (USD) 79,000
- FLSA: non-exempt and eligible for overtime pay
- Fund Type: Hard
- Work Location: Hybrid Onsite/Remote
- Pivotal Position: No
- Referral Bonus Available?: No
- Relocation Assistance Available?: No
#LI-Hybrid
