Job Information
AdventHealth Provider Enrollment Specialist in Fletcher, North Carolina
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Paid Days Off from Day One
· Student Loan Repayment Program
· Career Development
· Whole Person Wellbeing Resources
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time Days
Shift: Mon-Fri 8am-5pm
Location: Will be REMOTE after initial training and orientation are completed
The role you’ll contribute: Process enrollment and re-enrollment applications for physicians with insurance companies.
The value you’ll bring to the team:
· Credential new providers with contracted health care plans.
· Monitor processing of credentialing for new providers until confirmed participation.
· Continuous re-credentialing as required by each health care plan.
· Update and re-attest information with CAQH (Council for Affordable Healthcare) quarterly for each provider enrolled.
· Monitor credentialing/re-credentialing applications that have been forwarded to providers/office coordinators for timely return.
· Communicate with health care plan provider relations/representatives regarding participation/claim issues that arise.
· Maintain a physician grid on Microsoft Excel.
· Maintain files for each provider and obtain updated NC Uniform Applications and current attachments such as license, DEA and liability face sheets as needed.
· Complete group enrollment for each of our providers when a new contract is negotiated with a health care plan.
Qualifications
The expertise and experiences you’ll need to succeed:
· High school graduate or equivalent required
· Experience with MS Office Excel required
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Physician Services
Organization: AdventHealth Hendersonville
Schedule: Full-time
Shift: 1 - Day
Req ID: 24031543
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
AdventHealth
- AdventHealth Jobs