Top 145 Provider enrollment Jobs in Raleigh, Nc

Provider Enrollment Specialist (Full Time, Remote, North Carolina Based)
Alliance Health —Morrisville, NC
- $23.36 - $29.78 an hour
- Full-time
- Remote
- Writing skills
- Mid-level
- Administrative experience
- Disability insurance
- Health insurance
4d
Online Literacy Educator (Remote)
Hoot Reading —Raleigh, NC
- $18 - $20 an hour
- Part-time
- Remote
- School experience
- Computer literacy
- Mid-level
Program Specialist
Wake County Public School System —Cary, NC
- Weekends as needed
- Google Workspace
- Inventory management
- Customer service
Office Assistant Part-Time
Raleigh Comprehensive Treatment Center —Raleigh, NC
- Part-time
- Addiction Medicine
- Word processing
- Writing skills
12d
HR Coordinator
Southern Industrial Constructors, Inc. —Raleigh, NC
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
9d
Credentialing Services Specialist
Dean Dorton —Raleigh, NC
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Profit sharing
- Wellness program
Quick Apply
10d
Director of Data Quality and Evaluation
Communities In Schools North Carolina —Durham, NC
- Full-time
- Hybrid work
- School experience
- Computer literacy
- Writing skills
Quick Apply
Employee Benefits Marketing Specialist
HUB International —Raleigh, NC
- Full-time
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- Wellness program
- Health savings account
Family Navigator
Tammy Lynn Center (TLC) —Raleigh, NC
- $20 an hour
- Part-time
- Hybrid work
- Education
- Social Work
- Communication skills
Quick Apply
Learning Systems & Design Specialist
GO Media —Raleigh, NC
- Full-time
- 3 years
- Continuous improvement
- Classroom experience
Quick Apply
Assistant Director at KinderCare at UNC Rex
KinderCare Education —Raleigh, NC
- Full-time
- Classroom
- CPR Certification
- Computer literacy
- Health insurance
- Dental insurance
Licensed Mental Health Therapist
McKee Collaborative Therapy —Durham, NC
- $68,000 - $120,000 a year
- Full-time
- Hybrid work
- Private practice
- LMFT
- Psychiatry
- Paid time off
- Flexible schedule
Quick Apply
12d
Substance Abuse Counselor
Confidential —Durham, NC
- From $50,000 a year
- Full-time
- Addiction Medicine
- Mid-level
- Outpatient experience
- Health insurance
- Dental insurance
Quick Apply
Field Technician – Fall Protection Systems
Diversified Fall Protection —Raleigh, NC
- $28 - $32 an hour
- Weekends as needed
- Background check
- Heavy lifting
- Construction site
- Disability insurance
- Health insurance
Quick Apply
7d
Physician Assistant / Nurse Practitioner (Part-Time)
AVC Primary Care —Raleigh, NC
- $55 - $65 an hour
- Part-time
- Background check
- Private practice
- BLS Certification
- Flexible schedule
Quick Apply
1d
Sewer Lining Technician
Vision NC LLC —Raleigh, NC
- $20 - $25 an hour
- Overtime
- Background check
- CDL A
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Physical Therapist Assistant Home Health
Amedisys —Durham, NC
- $32.25 - $43.50 an hour
- Full-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
- Mileage reimbursement
- Paid parental leave
Lead Therapist
Pasadena Villa Outpatient —Cary, NC
- Full-time
- LMFT
- CPR Certification
- Clean driving record
- Health savings account
- AD&D insurance
Quick Apply
Behavior Analysis Practicum (Master's Level)
Action Behavior Centers —Apex, NC
- $24 - $30 an hour
- Full-time
- Clinic
- Senior level
- Continuing education credits
- Paid parental leave
Quick Apply
9d
Training Specialist & Technical Writer - (Data Center Cooling Solutions)
nVent —Raleigh, NC
- $76,000 - $169,300 a year
- Full-time
- Up to 50% travel
- Mid-level
- Driver's License
- Employee stock purchase plan
- Disability insurance

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provider enrollment jobs near raleigh, nc

Provider Enrollment Specialist (Full Time, Remote, North Carolina Based)

Alliance Health -
Morrisville, NC

Apply Now

Job Details

Full-time
$23.36 - $29.78 an hour
4 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
Flexible schedule
Retirement plan

Qualifications

Administrative experience

Full Job Description

The Provider Enrollment Specialist ensures that all providers in the Alliance Health Network are enrolled in NCTracks with an active Medicaid Health Plan and a valid taxonomy for the service requested; reviews Provider Action Database to identify any providers for exclusion from the network. Specialists will only approve applications for services identified as a network need and/or services mandated by compliance with Parity.

This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.

Responsibilities & Duties

Review, Respond, and Process all Provider Application Requests and Notice of Change Requests

Monitor and respond to provider inquiries received via the Enrollment email Inbox and phone queue

Review NC Tracks to confirm the following:
- NPI enrollment
- Site enrollment
- Approved Taxonomy for service requested
- Valid Health Plan enrollment

Review Alliance Health Provider Action Database for provider exclusions
Notify Contracts of approved additions and/or needed changes to contract
Complete written notice to providers regarding enrollment and contracting decisions per procedures
Meet all identified turn around times for provider enrollment responses
Verify that all NC Tracks information is reflected accurately in the ACS system based on the Provider Enrollment file
Ensure that all departments that are affected by any enrollment changes are notified timely and according to policy and procedure

Track Provider Applications Requests and Notices of Change

Track all provider requests and outcomes per department procedure

Minimum Requirements

Education & Experience

Required:

High school diploma/GED and six (6) years of experience in an administrative support role in healthcare

Bachelor’s degree from an accredited College or University and two (2) years of experience in an administrative support role in healthcare.

Preferred:

Behavioral Health experience preferred

Experience with NCTracks preferred.

Two years experience in provider enrollment preferred.

Knowledge, Skills, & Abilities

Knowledge of the organization and it’s functions
Knowledge of NCTracks system
Knowledge of computerized record-keeping techniques
Knowledge of and experience with records, reports and file maintenance.
Proficient with Microsoft Office suite
Proficient with grammar, spelling, punctuation and vocabulary
Skilled at organizing work to meet schedules and timelines
Ability to communicate effectively both in oral and written form
Ability to understand and follow oral and written directions
Ability to exercise tact and discretion in working with confidential or sensitive information
Ability to work independently with little direction
Ability to establish and maintain effective working relationships with others
Ability to analyze situations accurately and adopt an effective course of action

Salary Range

$23.36 - $29.78/ Hourly

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity

An excellent fringe benefit package accompanies the salary, which includes:

Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility

Education

Required

High School or better in General Studies

Skills

Required

Communication
Microsoft Office
Organizing
Tact
Time Management

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

provider enrollment jobs in raleigh, nc

Provider Enrollment Specialist (Full Time, Remote, North Carolina Based)

Online Literacy Educator (Remote)

Program Specialist

Office Assistant Part-Time

HR Coordinator

Credentialing Services Specialist

Director of Data Quality and Evaluation

Employee Benefits Marketing Specialist

Family Navigator

Learning Systems & Design Specialist

Assistant Director at KinderCare at UNC Rex

Licensed Mental Health Therapist

Substance Abuse Counselor

Field Technician – Fall Protection Systems

Physician Assistant / Nurse Practitioner (Part-Time)

Sewer Lining Technician

Physical Therapist Assistant Home Health

Lead Therapist

Behavior Analysis Practicum (Master's Level)

Training Specialist & Technical Writer - (Data Center Cooling Solutions)

I want to receive the latest job alert for provider enrollment in raleigh, nc

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