Provider and Payer Enrollment Analyst- Full Time Days

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

Provider and Payer Enrollment Analyst- Full Time Days### Provider and Payer Enrollment Analyst- Full Time DaysApply: CFV: Full time: Posted Today: 41088**Facility**Cape Fear Valley Medical Center**Location**Fayetteville, North Carolina**Department**Physician Financial Services**Job Family**Professional**Work Shift**Days (United States of America)**Summary**Assist the Physician Revenue Cycle, CFV Medical Group and Provider Enrollment teams by reducing delays impacting Professional AR within CFV.# **Major Job Functions**The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:* Work with Physician Revenue Cycle on AR issues related to payer enrollment discrepancies and credentialing* 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 and lag 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# **Minimum Qualifications**The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:## **Education and Formal Training**:* Bachelor’s degree required **OR** in lieu of degree 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 required## **Work Experience**:* 5 years' experience required## **Knowledge, Skills, and Abilities Required**:* Proficiency in reading, writing, and speaking the English language* 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 exemplify a team player attitude* Expert skills in Microsoft Word, Excel, PowerPoint and Access or other software as required* Willing and able to work on a variety of activities and projects* Ability to work with people in a tactful, diplomatic manner## **Physical Requirements**:* Present a professional image**Required Licenses and Certifications**Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity