Strategic Provider Enrollment & AR Analyst

Cape Fear Valley Health System; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC is seeking a Physician Revenue Cycle professional to reduce delays affecting professional AR and support the CFV Medical Group and Provider Enrollment teams.

The role focuses on payer enrollment discrepancies, credentialing, workflow improvements, denial analysis, and coordinating with leadership to align Tax IDs and enterprise structure in Epic to ensure timely enrollment and cash flow.

Qualifications

• Education and Formal Training: Bachelor’s degree required OR 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

Responsibilities

• Assist the Physician Revenue Cycle, CFV Medical Group and Provider Enrollment teams by reducing delays impacting Professional AR
• 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

Skills

AR Management

Payer Enrollment

Credentialing

Stakeholder Communication

Team Leadership

Education

Bachelor's degree or 10 years experience

Tools

Epic Systems

Microsoft Office (Word/Excel/PowerPoint/Access)

Job description

Cape Fear Valley Medical Center in Fayetteville, NC is seeking a Physician Revenue Cycle professional to reduce delays affecting professional AR and support the CFV Medical Group and Provider Enrollment teams.

The role focuses on payer enrollment discrepancies, credentialing, workflow improvements, denial analysis, and coordinating with leadership to align Tax IDs and enterprise structure in Epic to ensure timely enrollment and cash flow.