Payer Enrollment & AR Optimization Analyst

Cape-Fear-Valley-Medical-Center-; Fayetteville (NC); On-site; USD 80,000 - 110,000; Full time

Job summary

Cape Fear Valley Medical Center is seeking a proactive financial services professional to support the Physician Revenue Cycle, CFV Medical Group, and Provider Enrollment teams. The role emphasizes reducing delays in professional AR through credentialing and enrollment improvements and requires coordinating with Epic for provider releases.

The candidate will analyze denials, create strategic AR plans, and collaborate with Managed Care leadership to streamline processes.

Qualifications

• Bachelor’s degree or 10 years collective experience in Physician AR, Provider Enrollment, Provider Onboarding, Managed Care Contracting and Medical Staff Services.
• 5 years' 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.
• Proficiency in reading, writing, and speaking English; excellent interpersonal, written and verbal skills.
• Proficiency with Microsoft Word, Excel, PowerPoint and Access.

Responsibilities

• Assist 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 in Epic to ensure timely resolution and denial reduction.
• Identify areas for improvement while mitigating payment disruption and trend denial analysis.
• Assist Leadership on expanding delegated enrollment arrangements to expedite processes and reduce delays.
• Align Individual Group Tax ID to corporate structure and help establish controls for integrity.

Skills

Experience in Physician AR/Provider En

English language proficiency

Strong written and verbal skills

Interpersonal skills

Proficient with MS Word, Excel, PowerP

Education

Bachelor’s degree or 10 years related experience

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Access

Job description

Cape Fear Valley Medical Center is seeking a proactive financial services professional to support the Physician Revenue Cycle, CFV Medical Group, and Provider Enrollment teams. The role emphasizes reducing delays in professional AR through credentialing and enrollment improvements and requires coordinating with Epic for provider releases.

The candidate will analyze denials, create strategic AR plans, and collaborate with Managed Care leadership to streamline processes.