Provider Enrollment Specialist / Managed Care / Full Time
full-time•Conover
Summary
Location
Conover
Type
full-time
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About this role
Summary of Performance Expectations.
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.
Education and Credentials:
Required:
Bachelor’s degree from an accredited college or a minimum of four years’ experience working in managed care, credentialing, or revenue cycle.
Preferred:
Advanced knowledge of all Microsoft office products
Work Experience:
Required:
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.
Preferred:
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.
About Catawba Valley Medical Center
COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY
Our mission: Exceptional Healthcare. Every Person. Every Time.
At A Glance:
- North Carolina’s first and only 5-time Magnet recipient for nursing excellence
- Region’s only level III Neonatal Intensive Care Unit (NICU)
- Women’s Choice Award winner for America’s Best 100 Hospitals for Patient Experience for six consecutive years
- American College of Surgeons Accredited Comprehensive Community Cancer Center
HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS
Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available.
One of our goals at Catawba Valley Medica Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need. We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.
Other facts
Tech stack
Provider Enrollment,Credentialing,Managed Care,Revenue Cycle,Problem-Solving,Critical Thinking,Microsoft Office,CAQH,PECOS,NCTracks
About Catawba
Catawba Valley Health System is the region's largest not-for-profit community hospital, it is our mission to improve the health status of the Catawba Valley. Our organization's hallmark is an extraordinary blend of compassionate care and innovative clinical expertise.
We do this by providing high-quality health-care services, as well as by supporting organizations dedicated to improving our standard of living.We exist to heal and comfort patients, to promote and foster a healthier Catawba Valley, and to assure access to health care to all who need it — not to create profits and return dividends to shareholders.
By continuing to work together, we can improve the overall health status of the Catawba Valley and make our community an even better place to call home.
Team size: 1,001-5,000 employees
Website: http://www.catawbavalleyhealth.org
LinkedIn: Visit
Industry: Hospitals and Health Care
Founding Year: 1968
What you'll do
- The Provider Enrollment Specialist performs enrollment and re-enrollment functions for providers with insurance carriers and government payers. They act as a liaison to resolve issues related to enrollment credentialing and ensure timely completion of applications.
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Frequently Asked Questions
What does a Provider Enrollment Specialist / Managed Care / Full Time do at Catawba?
As a Provider Enrollment Specialist / Managed Care / Full Time at Catawba, you will: the Provider Enrollment Specialist performs enrollment and re-enrollment functions for providers with insurance carriers and government payers. They act as a liaison to resolve issues related to enrollment credentialing and ensure timely completion of applications..
Why join Catawba as a Provider Enrollment Specialist / Managed Care / Full Time?
Catawba is a leading Hospitals and Health Care company.
Is the Provider Enrollment Specialist / Managed Care / Full Time position at Catawba remote?
The Provider Enrollment Specialist / Managed Care / Full Time position at Catawba is based in Conover, North Carolina, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Provider Enrollment Specialist / Managed Care / Full Time position at Catawba?
You can apply for the Provider Enrollment Specialist / Managed Care / Full Time position at Catawba directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Catawba on their website.