Remote NCTracks Provider Enrollment Specialist

Alliance Health in; Morrisville (NC); Remote; USD 32,000 - 41,000; Full time

Benefits offered by this job

Hybrid/remote options

Flexible work schedules

Paid time off

Dress flexibility

Comprehensive benefits

Job summary

Alliance Health is seeking a Provider Enrollment Specialist to ensure NCTracks enrollment for providers in the Alliance Health Network, with a focus on approving requests and maintaining accurate records. The role is primarily remote, with occasional in-office meetings as needed.

The position requires strong healthcare administrative experience, knowledge of NCTracks, and proficiency in Microsoft Office. Behavioral health experience and NCTracks familiarity preferred.

Qualifications

• High school diploma/GED and six (6) years of experience in an administrative support role in healthcare.
• Bachelor's degree from an accredited College or University and two (2) years of experience in an administrative support role in healthcare.

Responsibilities

• Review, Respond, and Process all Provider Application Requests and Notice of Change Requests.
• Monitor and respond to provider inquiries received via the Enrollment email Inbox and phone queue.
• Review NC Tracks to confirm NPI enrollment, Site enrollment, Approved Taxonomy for service requested, and Valid Health Plan enrollment.
• Review Alliance Health Provider Action Database for provider exclusions.
• Notify Contracts of approved additions and/or needed changes to contract.
• Complete written notice to providers regarding enrollment and contracting decisions per procedures.
• Meet all identified turn around times for provider enrollment responses.
• Verify that NC Tracks information is reflected accurately in the ACS system.
• Ensure that all departments affected by enrollment changes are notified timely per policy.
• Track Provider Applications Requests and Notices of Change.
• Track all provider requests and outcomes per department procedure.

Skills

NCTracks knowledge

Record-keeping

Office suite

Writing & grammar

Organizing

Communication

Oral & written directions

Discretion with confidential info

Independent work

Team relationships

Problem analysis

Provider enrollment knowledge

Healthcare admin experience

Education

Bachelor's degree

High School diploma/GED

Job description

Alliance Health is seeking a Provider Enrollment Specialist to ensure NCTracks enrollment for providers in the Alliance Health Network, with a focus on approving requests and maintaining accurate records. The role is primarily remote, with occasional in-office meetings as needed.

The position requires strong healthcare administrative experience, knowledge of NCTracks, and proficiency in Microsoft Office. Behavioral health experience and NCTracks familiarity preferred.