Manager of Credentialing - Full Time Days
Cape Fear Valley Health · CFV
Facility
Cape Fear Valley Medical CenterLocation
Fayetteville, North CarolinaDepartment
Physician Financial ServicesJob Family
ManagementWork Shift
Days (United States of America)Summary
Oversee, lead and coordinate the payer enrollment activities associated with employed and certain contracted providers, hospitals and group practices within Cape Fear Valley Health System.Major Job Functions
The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:
Work with Physician groups and Hospital departments on enrollment activities to ensure proper payment
Works closely with Medical Group and Medical Staff Services to ensure all providers and new groups are onboarded from a payer enrollment perspective
Work with CAQH and other organizations on the processing of credentialing applications
Ensures NPI registry, PECOS, NPPES and NC Medicaid systems have consistent information related to CFV entities
Ensure that enrollments, reenrollments and revalidations are handled timely, accurately and consistently
Provides quality control measures to ensure that staff are properly trained and executing functions accurately and timely
Other duties as assigned
Minimum Qualifications
The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:
Education and Formal Training:
Associate’s degree required OR 4 years’ experience as a practice manager or administrator will be considered in lieu of degree
Bachelor’s degree preferred
Work Experience:
2 years’ experience working with a large multi-specialty health system with knowledge and experience in credentialing and/or provider enrollment 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, be results oriented, and exemplify a team player attitude
Expert skills in Microsoft Word, Excel, PowerPoint and Access
Ability and willingness 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
Visual and auditory acuity
Required Licenses and Certifications
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity
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