Enrollment & Credentialing Analyst - Provider & Payer

Cape Fear Valley Health; Fayetteville (NC); On-site; USD 65,000 - 105,000; Full time

Job summary

Cape Fear Valley Health is seeking an Analyst to support the Physician Revenue Cycle and Provider Enrollment teams in Fayetteville, NC. This role focuses on reducing delays in professional AR by addressing payer enrollment discrepancies and credentialing issues.

The position requires a Bachelor’s degree or equivalent experience, at least 5 years in related roles, and strong communication skills. Proficiency with Microsoft Office and Epic is expected, with a focus on process improvement and

Qualifications

• Bachelor’s degree required or 10 years of collective experience in Physician Accounts Receivable, Provider Enrollment, Provider Onboarding, Managed Care Contracting and Medical Staff Services with payer-related duties.
• 5 years' experience required.
• Proficiency in reading, writing, and speaking English; strong interpersonal, written and verbal communication; results oriented.
• Expert skills in Microsoft Word, Excel, PowerPoint and Access or other required software.

Responsibilities

• Work with Physician Revenue Cycle on AR issues related to payer enrollment discrepancies and credentialing.
• Create strategic plan for AR resolution related to credentialing and payer enrollment to minimize cash impact and improve workflows.
• Manage and oversee release of providers and holding of providers in Epic to ensure timely resolution and denial reduction.
• Identify areas for improvement while mitigating payment disruption and trend denial analysis.

Skills

Interpersonal skills

Verbal communication

Written communication

Team player

Results oriented

Education

Bachelor’s degree

Tools

Microsoft Word

Excel

PowerPoint

Access

Job description

Cape Fear Valley Health is seeking an Analyst to support the Physician Revenue Cycle and Provider Enrollment teams in Fayetteville, NC. This role focuses on reducing delays in professional AR by addressing payer enrollment discrepancies and credentialing issues.

The position requires a Bachelor’s degree or equivalent experience, at least 5 years in related roles, and strong communication skills. Proficiency with Microsoft Office and Epic is expected, with a focus on process improvement and