Provider Enrollment Specialist I

Carilion Clinic • Roanoke, VA

15h • 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.
• Knowledge of insurance claim processing and third party reimbursement highly desired.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED