Provider Enrollment Specialist

Employment Status:
Full time | Shift: Day (United States of America) | Facility: 213 S Jefferson St - Roanoke | Requisition Number: R162503

Responsibilities include 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.

• 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.

Carilion Clinic is an Equal Opportunity

Employer:

We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status.

Carilion is a Drug-Free Workplace.

For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at , 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

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

In our workplace, we're devoted to the success of our employees. No matter where you are in your career, we will help you continue to learn, grow, and share your knowledge with others.

Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. Join an organization where innovation happens, collaboration is expected and ideas are valued.

A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, fully dedicated, and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, and multi-specialty physician practices spanning southwestern Virginia.

Join us and begin your career in a place where every day is a new adventure of creating the future of health care.