Provider Enrollment Specialist / Managed Care / Full Time

Catawba • Conover, NC

11d

About The Position

The primary function of a Provider Enrollment Specialist is to perform enrollment and re-enrollment related functions for providers with contracted insurance carriers and government payers, as needed. This position serves as a resource and liaison to implement and resolve issues related to enrollment credentialing. This position will work directly with our payer contacts as well as our employed physicians to ensure all applications are completed within specified time periods.

Requirements

• Bachelor’s degree from an accredited college or a minimum of four years’ experience working in managed care, credentialing, or revenue cycle.
• One year of applicable experience. If candidate has no experience, they must have completed a successful healthcare or finance-oriented internship with good references or at least four years working in managed care, credentialing or revenue cycle.

Nice To Haves

• Advanced knowledge of all Microsoft office products
• Experience in problem-solving, critical thinking, and accomplishing tasks on assigned timelines.
• Strong understanding of provider credentialing.
• Working knowledge of CAQH, PECOS and NCTracks.
• Ability to work independently.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 1,001-5,000 employees