Provider Enrollment Specialist I
Carilion Clinic•Roanoke, VA
•$19 - $26•Onsite
About The Position
The Provider Enrollment Specialist is responsible for coordinating, monitoring and maintaining the provider enrollment and re-enrollment process in a timely and compliant manner with all government and commercial payors. Facilitates all aspects of provider enrollment, including initial enrollment, re-enrollment, monitoring, and appointment for the medical staff and allied health practitioners. Knowledge of insurance claim processing and third party reimbursement highly desired.
Requirements
- High School graduate required
- Communication, analytical and problem-solving skills required.
- Must be able to meet high productivity and accuracy standards.
Nice To Haves
- some college course work preferred
- Billing or healthcare revenue cycle experience preferred.
Responsibilities
- Ensures policies and procedures are up to date and followed.
- Ability to work independently and take initiative.
- Follow up with necessary contacts, including providers and managed care organizations, to resolve enrollment application issues and deficiencies.
- Provides guidance to revenue cycle and payor community.
- Subject matter expert of assigned payors.
- Works in Symplr Provider
- Stays current on regulatory requirements for payors, application, and audit needs.
- Ability to understand and interpret statistical reports and perform quantitative analysis.
Benefits
- Comprehensive Medical, Dental, & Vision Benefits
- Employer Funded Pension Plan, vested after five years (Voluntary 403B)
- Paid Time Off (accrued from day one)
- Onsite fitness studios and discounts to our Carilion Wellness centers
- Access to our health and wellness app, Personify Health
- Discounts on childcare
- Continued education and training
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
