Provider Enrollment Coordinator
Share
Job Location:
Roanoke, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
2 hours ago
Vacancies:
1 Vacancy
Job Summary
Employment Status:
Full timeShift:
Day (United States of America)Facility:
213 S Jefferson St - RoanokeRequisition Number:
R158393 PROVIDER ENROLLMENT COORDINATOR (Open)How Youll Help Transform Healthcare:
The Provider Enrollment Coordinator serves as the central operational liaison between clinical departments internal revenue cycle partners and external payers to ensure accurate timely and high-quality provider enrollment and network participation. Reporting directly to the Director of Provider Enrollment this role is responsible for coordinating complex enrollment workflows safeguarding data integrity and proactively identifying risks that could delay billing or reimbursement.This position requires exceptional time management strong analytical and critical thinking skills and a high level of precision in data oversight. The Coordinator ensures that provider demographic specialty panel and payer information is complete accurate and aligned across systems to support compliant enrollment clean claims processing and optimized revenue cycle performance
The Provider Enrollment Coordinator:
- Serves as the primary operational point of contact for clinical departments physician leaders and internal stakeholders regarding provider enrollment coordination and network participation.
- Manages end-to-end coordination of provider enrollment readiness ensuring all required documentation practice details effective dates specialties and panel information are complete accurate and aligned to submission.
- Oversees data control and quality assurance processes to ensure providers are accurately loaded into enrollment credentialing and related systems to support timely billing and reimbursement.
- Partners directly with payers to coordinate enrollment requirements resolve discrepancies clarify participation status and proactively address issues impacting reimbursement or network access.
- Monitors enrollment timelines and prioritizes workload based on go-live dates payer turnaround times and operational impact demonstrating strong time management in a deadline-driven environment.
- Communicates enrollment status risks and barriers to the Director of Provider Enrollment by providing clear recommendations and action plans.
- Conducts routine and targeted quality audits of provider data payer participation specialty alignment and effective dates to ensure ongoing data accuracy and regulatory compliance.
- Applies critical thinking to identify trends root causes of delays or denials and systemic process gaps; develops and implements solutions in collaboration with leadership.
- Maintains oversight of coordination between recruitment contracting credentialing revenue cycle Medical Staff Services onboarding and external payers to ensure alignment and prevent downstream revenue disruption.
- Develops and refines tracking tools reporting mechanisms and workflow controls to strengthen visibility accountability and performance outcomes.
- Supports development documentation and communication of enrollment policies procedures and best practices to promote standardization and operational consistency.
- Handles confidential provider and organizational information with professionalism discretion and sound judgment.
What We Require:
Education: Associate degree required or relevant education and 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: Strong time management skills with the ability to meet deadlines in a fast-paced environment. Excellent verbal and written communication skills. Strong 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 including word processing spreadsheets databases and enrollment systems. 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 qualifications required for this position. Employees may be asked to perform job-related duties beyond those explicitly described.
Recruiter:
MARK MISKOVICRecruiter Email:
For more information contact the HR Service Center at 1-.
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 8:00 a.m. to 4:30 p.m. Monday through Friday.
Required Experience:
IC
Key Skills
- Corporate Risk Management
- Electronics
- Infection Control
- Bakery
- ELV
- Accident Investigation
