Provider and Payer Enrollment Analyst- Full Time Days

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

FacilityCape Fear Valley Medical CenterLocationFayetteville, North CarolinaDepartmentPhysician Financial ServicesJob FamilyProfessionalWork ShiftDays (United States of America)SummaryAssist the Physician Revenue Cycle, CFV Medical Group and Provider Enrollment teams by reducing delays impacting Professional AR within CFV.Major Job FunctionsThe 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 credentialingCreate 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 processManage and oversee the release of providers and holding of providers in Epic to ensure timely resolution and denial reductionIdentify areas for improvement while mitigating payment disruptionTrend and provide denial analysis and share results to foster improvement and denial reductionAssist 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 processAlign Individual Group Tax ID to corporate strategic structure and help establish controls to ensure that structure and integrity is maintainedOther duties as assignedMinimum QualificationsThe 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 requiredWork Experience:5 years' experience requiredKnowledge, Skills, and Abilities Required:Proficiency in reading, writing, and speaking the English languageExcellent interpersonal skills with the ability to interact with internal hospital department leadership as well as outside organizationsStrong written and verbal skills, results oriented, and exemplify a team player attitudeExpert skills in Microsoft Word, Excel, PowerPoint and Access or other software as requiredWilling and able to work on a variety of activities and projectsAbility to work with people in a tactful, diplomatic mannerPhysical Requirements:Present a professional imageRequired Licenses and CertificationsCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity