Provider Enrollment Specialist

Carilion Clinic; Roanoke (VA); Presencial; USD 33.000 - 50.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits

Dental benefits

Vision benefits

Pension plan

Paid time off

Onsite fitness

Descripción de la vacante

Carilion Clinic is seeking a Provider Enrollment Coordinator to support enrollment across commercial and government payers. You will serve as the main contact for providers and clinical leadership, manage enrollment data, and coordinate with recruitment, credentialing, and revenue cycle teams to ensure timely reimbursement.

The role requires an Associate degree or 2 years of experience and at least 3 years in a healthcare setting, with strong time management and communication skills.

Formación

• Associate degree or 2 years of experience may be considered in lieu of degree.
• 3 years of experience in a healthcare setting required.
• Excellent time management with ability to meet deadlines in a fast paced environment.
• Strong verbal and written communication, attention to detail and data accuracy.

Responsabilidades

• Serves as a primary point of contact for new providers and clinical leadership across Carilion Clinic locations.
• Collects provider practice information forms, reviews for completeness and accuracy, and routes to enrollment teams.
• Coordinates enrollment requirements with recruitment, contracting, credentialing, revenue cycle, Medical Staff Services, CCVS, onboarding teams, and external payors.
• Monitors enrollment progress and communicates status, issues, and urgent needs to department Chairs, Chiefs, Directors, Managers, and physician leaders.
• Ensures providers are accurately loaded into enrollment and credentialing systems to support timely billing and reimbursement.
• Maintains data integrity across provider panels, specialties, effective dates, payer networks, and provider directories.
• Conducts quality audits of enrollment activity and shares results with leadership for accountability.
• Identifies enrollment process gaps or risks and recommends improvements to leadership.
• Collaborates with leadership to develop, implement, and communicate enrollment policies and procedures.
• Revenue Cycle Management (RCM): monitor, manage, and reconcile RCM workqueues to resolve holds, denials, and data discrepancies.
• Project & Issue Management: coordinate and track provider enrollment projects and escalations to drive timely resolution.

Conocimientos

Healthcare experience

Data management

Communication skills

Project coordination

Educación

Associate degree

Descripción del empleo

Carilion Clinic is seeking a Provider Enrollment Coordinator to support enrollment across commercial and government payers. You will serve as the main contact for providers and clinical leadership, manage enrollment data, and coordinate with recruitment, credentialing, and revenue cycle teams to ensure timely reimbursement.

The role requires an Associate degree or 2 years of experience and at least 3 years in a healthcare setting, with strong time management and communication skills.