Provider Enrollment & Credentialing Specialist

Description

To perform this job successfully an individual must be able to perform each essential duty to a satisfactory standard. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education: High School Diploma or GED required; associate degree or additional coursework in healthcare administration, business administration, or a related field preferred. 

Experience: Two years of provider credentialing, payor enrollment, medical staff services, healthcare administration, or related experience preferred. Experience working with insurance carriers, Medicare, Medicaid, CAQH, PECOS, NPPES, and credentialing or enrollment systems is preferred. 

License/Certification: Certified Provider Credentialing Specialist (CPCS) or Provider Enrollment Specialist Certification (PESC) preferred. 

Communication Skills: Demonstrated ability to exercise professional oral and written communication skills with all internal and external audiences. 

Computer Skills: Proficiency with Microsoft Outlook, Word, and Excel required. Experience with credentialing software, payor portals, CAQH, PECOS, NPPES, and other enrollment platforms preferred. 

Knowledge, Skills, and Abilities: Strong attention to detail, organizational skills, follow-through, and ability to manage multiple deadlines. Ability to communicate professionally with providers, payors, facilities, and internal teams. Working knowledge of provider credentialing, payor enrollment processes, compliance requirements, and confidentiality standards. Ability to identify issues, resolve routine problems, and escalate matters appropriately.

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by any employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position operates in a hybrid work environment, with employees typically working on site two to three days per week and performing routine office and computer-based work. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this position, the employee is regularly required to sit, stand, walk, use hands to handle documents or operate a computer, reach with hands and arms, and talk or hear. The role involves routine computer and desk work and may require occasional light lifting. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Requirements

About Providence Anesthesiology Associates

Headquartered in Charlotte, North Carolina, Providence Anesthesiology Associates (PAA) is an independent physician owned practice compromised of over 150 anesthesiologists. Founded in 1991, PAA provides anesthesia and perioperative care at numerous healthcare facilities throughout North and South Carolina, serving more than 150,000 patients annually.

Why work for PAA?

• →PAA continues to experience impressive growth and success. Our anesthesiologists are among the most elite in their field.
• →Our physicians are committed to providing the best culture and experience to their employees. Awarded one of the Top Workplaces in 2021, PAA’s core values include commitment, accountability, performance, integrity, transparency, adaptability, and leadership. We do what’s right and don’t compromise.

What’s in it for you?

• →Strong workplace culture. We care about each other as people. We build relationships and connections beyond the time spent on the job. We offer a supportive, highly team-oriented work environment.
• →We provide competitive total rewards including salary, benefits – Day 1, retirement, profit sharing, life insurance, paid time off, holidays, education reimbursement, employee recognition for birthdays and anniversaries, fun team building events, and more.
• →We want you to succeed and our employer to employee relationship is proven to help you reach your goals and the goals of PAA.

What else should you know?

• →Providence Anesthesiology Associates is an equal opportunity employer and does not tolerate discrimination based on any protected status.
• →PAA participates in E-Verify. E-Verify is an internet-based system that compares the information you provide on the Form I-9 with information from the Social Security Administration and Department of Homeland Security records.