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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:
- 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 Medical 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.
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