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Charlotte, NC, United States
Job ID: 28093
Job Family: Clerical Support
Status: Full Time
Shift Details: Regular
Department Name: 51011028341153-Government Enrollment
Location: Atrium Corporate Operations
JOB SUMMARY: The Supervisor Credentialing Enrollment is responsible for the timely, accurate, and compliant enrollment of Atrium Health providers with government payers, as well as the timely and accurate processing, follow up, and verification of completion of applications for participation in Medicare (NC/SC), NC Medicaid (NCTracks), SC Medicaid programs for AH providers and physician groups. The position is responsible for ensuring that the credentialing and enrollment functions are completed in compliance with all Atrium Health, CMS, State and national accrediting agency(s) standards.
Performs most duties under normal office conditions. Work may require sitting for long periods of time, standing, walking, using repetitive wrist/arm motion or lifting articles 20-50 pounds. Work is subject to time sensitivity, heavy volumes, and frequent interruptions, either by phone, email or other employees. Work requires frequent verbal and written communication to employees, corporate staff, providers, government or managed care organizations, and external agencies in English. Work requires occasional travel to other corporate offices. Use of personal vehicle required. Intact sense of sight and hearing required.
EDUCATION, TRAINING, EXPERIENCE
College bachelor’s degree required. 3+ years’ experience in a role that performs or supports provider enrollment or similar operations in a hospital or managed care environment is required. Certification through National Association of Medical Staff Services (NAMSS) as Certified Provider Credential Specialist (CPCS) or Professional Medical Services Management (CPMSM) preferred. Experience with primary source verifications, Medicare, North & South Carolina Medicaid, NCQA and DOI standards is preferred.