Provider Enrollment Coordinator

The Provider Enrollment Coordinator

• Serves as a primary point of contact for new providers and clinical leadership across Carilion Clinic locations.
• Collects provider practice information forms, reviews submissions for completeness and accuracy, and facilitates timely routing to enrollment teams.
• Coordinates enrollment requirements with recruitment, contracting, credentialing, revenue cycle, Medical Staff Services, CCVS, onboarding teams, and external payors.
• Monitors provider enrollment progress and communicates status, issues, and urgent needs to department Chairs, Chiefs, Directors, Managers, and physician leaders.
• Ensures providers are accurately loaded into enrollment and credentialing systems to support timely billing and reimbursement.
• Maintains data integrity across provider panels, specialties, effective dates, payer networks, and provider directories.
• Conducts quality audits of enrollment activity and shares results with leadership to support accountability and performance improvement.
• Identifies enrollment process gaps or risks and recommends process improvements to leadership.
• Collaborates with leadership to develop, implement, and communicate enrollment policies, procedures, and best practices.
• Revenue Cycle Management (RCM): Monitor, manage, and reconcile RCM workqueues to identify and resolve provider enrollment-related claim holds, denials, and data discrepancies, collaborating with Revenue Cycle and payer partners to mitigate reimbursement delays and protect revenue integrity.
• Project & Issue Management: Coordinate and track Provider Enrollment projects, operational issues, and escalations, collaborating with internal departments and external payer partners to drive timely resolution, improve workflows, and mitigate operational and financial risks.

Education: Associate degree or 2 years of experience may be considered in lieu of degree.

Experience: 3 years of experience in a healthcare setting required.

Licensure, Certification, and/or Registration: None.

Other Minimum Qualifications: Must have time management skills with the ability to meet deadlines in a fast-paced environment. Excellent verbal and written communication skills, attention to detail and commitment to data accuracy and integrity. Ability to work independently while collaborating effectively with cross-functional teams. Proficiency with computer applications. Ability to manage multiple priorities and shift focus as business needs change. Demonstrated professionalism, discretion, and ability to handle confidential information. Customer-focused mindset with the ability to support providers and internal stakeholders effectively.

This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.

Compensation Range:

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Recruiter:

Recruiter Email:

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. Thats why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life at work and when youre away.

When you make your tomorrow with us, well enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training

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