Provider Enrollment Specialist I

Provider Enrollment Specialist I (Open)

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.

Duties and responsibilities may include but not limited:

• 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.

Education: High School graduate required; some college course work preferred

Experience: Billing or healthcare revenue cycle experience preferred.

Other Minimum Qualifications: Communication, analytical and problem-solving skills required. Must be able to meet high productivity and accuracy standards.

Compensation Range: $18.70 - $26.18

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life at work and when you're away. When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• 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