Contracting Strategies: Provider Enrollment

The Provider Enrollment Team's primary responsibilities are:

  • Enrolling UTMB faculty providers into Medicare, Medicaid, and the Managed Care and Managed Medicaid plans that are contracted with UTMB
  • Assigning all provider numbers in EPIC for faculty, residents, and providers
  • Providing monthly notification of new providers, resignations, and changes in provider status such as practice locations and panel status to the contracted plans

Provider Enrollment performs the following services:

  • Serves as liaison between the billing department and managed care plans to resolve any billing issues related to provider enrollment
  • Processes over 800 enrollment applications annually according to CMS, Texas Medicaid and Blue Cross Blue Shield guidelines to ensure timely reimbursement
  • Resolves provider related denials to ensure appeal procedures are followed which result in correct reimbursement for services rendered

The Provider Enrollment team is comprised of Faith Weaver, Senior Manager Provider Enrollment, and Provider Enrollment Specialists Veronica Ayala and Shayna Bell.

To ensure timely enrollment and reimbursement for new UTMB providers, please contact Provider Enrollment prior to determining a hire date for a new UTMB faculty member. It is important to understand the current enrollment timeframe with Medicare and Medicaid to establish the proper start date for the new faculty member. You may reach provider enrollment at any time by calling (409) 747-1170.

NoPhotoWoman

VACANT, Sr. Manager Provider Enrollment

Add Bio Here