Provider Enrollment Specialist / Managed Care / Full Time

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

As the region’s largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home.