Provider Enrollment Specialist/Managed Care
Listed on 2026-01-30
-
Healthcare
Healthcare Consultant, Healthcare Administration, Healthcare Management
Provider Enrollment Specialist / Managed Care / Full Time
Conover, NC, United States and 1 more
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Job DescriptionSummary of Performance Expectations.
The primary function of a Provider Enrollment Specialist is to perform enrollment and re-enrollment related functions for providers with contracted insurance carriers and government payers, as needed. This position serves as a resource and liaison to implement and resolve issues related to enrollment credentialing. This position will work directly with our payer contacts as well as our employed physicians to ensure all applications are completed within specified time periods.
Education and Credentials:
Required:
Bachelor’s degree from an accredited college or a minimum of four years’ experience working in managed care, credentialing, or revenue cycle.
Preferred:
Advanced knowledge of all Microsoft office products
Work Experience:
Required:
One year of applicable experience. If candidate has no experience, they must have completed a successful healthcare or finance-oriented internship with good references or at least four years working in managed care, credentialing or revenue cycle.
Preferred:
Experience in problem-solving, critical thinking, and accomplishing tasks on assigned timelines. Strong understanding of provider credentialing. Working knowledge of CAQH, PECOS and NCTracks. Ability to work independently.
About UsAbout Catawba Valley Medical Center
COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY As the region’s largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home.
About Catawba Valley Medical Center
COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY As the region’s largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home.
Our mission:
Exceptional Healthcare. Every Person. Every Time.
At A Glance:
- North Carolina’s first and only 5-time Magnet recipient for nursing excellence
- Region’s only level III Neonatal Intensive Care Unit (NICU)
- Women’s Choice Award winner for America’s Best 100 Hospitals for Patient Experience for six consecutive years
- American College of Surgeons Accredited Comprehensive Community Cancer Center
One of our goals at Catawba Valley Medica Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need.
We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.
Job Info
- Job Identification 4815
- Job Category Management/Professional
- Posting Date 01/26/2026, 05:18 PM
- Job Shift Day
- Locations 1220 Commerce St SW, Conover, NC, 28613, US
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