AR & Denials Reduction Analyst – Payer Enrollment

Cape Fear Valley Health System; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC seeks a seasoned accounts receivable professional to support Physician Revenue Cycle, CFV Medical Group, and Provider Enrollment teams. The role focuses on resolving AR delays related to credentialing and payer enrollment, and reducing denial risk through strategic workflow enhancements.

The position requires strong communication, collaboration with hospital leadership, and proficiency in Epic and MS Office.

Qualifications

• Bachelor’s degree required or 10 years collective experience in Physician Accounts Receivable, Provider Enrollment, Provider Onboarding, Managed Care Contracting and Medical Staff Services as well as payer-related duties relating to credentialing and enrollment.
• 5 years' experience required
• Excellent interpersonal skills with the ability to interact with internal hospital department leadership as well as outside organizations
• Strong written and verbal skills, results oriented, and a team player attitude
• Expert skills in Microsoft Word, Excel, PowerPoint and Access or other software as required

Responsibilities

• Assist Physician Revenue Cycle, CFV Medical Group and Provider Enrollment teams by reducing delays impacting Professional AR.
• Create Strategic Plan for AR resolution as it relates to credentialing and payer enrollment to help minimize impact on cash and create workflows to improve payer enrollment process
• Manage and oversee the release of providers and holding of providers in Epic to ensure timely resolution and denial reduction
• Identify areas for improvement while mitigating payment disruption
• Trend and provide denial analysis and share results to foster improvement and denial reduction
• Assist Director/PB Revenue Cycle, Managed Care leaders and Provider Enrollment manager on expanding delegated arrangements to expedite enrollment process and reduce delays in enrollment process
• Align Individual Group Tax ID to corporate strategic structure and help establish controls to ensure that structure and integrity is maintained
• Other duties as assigned

Skills

Interpersonal skills

Written & verbal comms

Team collaboration

Ability to multitask

Education

Bachelor’s degree

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Access

Job description

Cape Fear Valley Medical Center in Fayetteville, NC seeks a seasoned accounts receivable professional to support Physician Revenue Cycle, CFV Medical Group, and Provider Enrollment teams. The role focuses on resolving AR delays related to credentialing and payer enrollment, and reducing denial risk through strategic workflow enhancements.

The position requires strong communication, collaboration with hospital leadership, and proficiency in Epic and MS Office.