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Credentialing Enrollment Specialist/Analyst - 1 open - onsite in Charlotte
Start 03/30/2026
End 03/30/2027 - possible contract to hire
Onsite in Charlotte for the contract - remote if converted to a Perm Employee
Department: Enterprise Corporate – Managed Health Clinical Insights & Operations: Credentialing & Enrollment
Job Summary
Overseas the internal processes and procedures as well as governmental for the timely and accurate completion and submission of provider applications.
Essential Functions performs primary source verifications of documentation required for managed care credentialing and re credentialing of MGD providers.
Provide issue resolution and support regarding billing issues as they relate to provider enrollment and credential lien for MGD providers and the central billing office
Enters provider data in the echo database according to established departmental processes and provides feedback to other system entities as to the status of the applicants.
Performs follow up on needed information ( expired licenses board certifications insurance, and DEA registrations) on an ongoing basis and ensures receipt of same in a timely manner.
Prepares physician files or file audits by managed care organizations corporate compliance and accreditation entities
Conducts practice site visits for practices within MGD.
Facilitates communication tools and or activities to maintain timely and accurate flow of information to managed care organizations (MCO) and the system
Review hard copy and electronic provider directories and other information produced by managed care organizations reflecting CHS MGD and the systems demographics and participation
Provides team member support to the CPN credentialing and quality review committee
Skills
Experience with Computer, Xerox Machine, Fax, Printer, Telephone, Typewriter, and all related office equipment and supplies.
Experience And Certifications
three years’ experience in a role that performs or supports provider credentialing privileging and or enrollment in either a hospital, managed care plan RCMS environment is required.
Knowledge of an experience with personal computers windows and Microsoft applications copiers and fax machines and multi-line telephone required.
Certification through National Association of medical staff services (NAMMS) this is a certified provider credential specialist (CPC) or professional medical services management (CPMSM) Preferred.
Credentialing Enrollment Specialist/Analyst - 1 open - onsite in Charlotte
Start 03/30/2026
End 03/30/2027 - possible contract to hire
Onsite in Charlotte for the contract - remote if converted to a Perm Employee
Department: Enterprise Corporate – Managed Health Clinical Insights & Operations: Credentialing & Enrollment
Job Summary
Overseas the internal processes and procedures as well as governmental for the timely and accurate completion and submission of provider applications.
Essential Functions performs primary source verifications of documentation required for managed care credentialing and re credentialing of MGD providers.
Provide issue resolution and support regarding billing issues as they relate to provider enrollment and credential lien for MGD providers and the central billing office
Enters provider data in the echo database according to established departmental processes and provides feedback to other system entities as to the status of the applicants.
Performs follow up on needed information ( expired licenses board certifications insurance, and DEA registrations) on an ongoing basis and ensures receipt of same in a timely manner.
Prepares physician files or file audits by managed care organizations corporate compliance and accreditation entities
Conducts practice site visits for practices within MGD.
Facilitates communication tools and or activities to maintain timely and accurate flow of information to managed care organizations (MCO) and the system
Review hard copy and electronic provider directories and other information produced by managed care organizations reflecting CHS MGD and the systems demographics and participation
Provides team member support to the CPN credentialing and quality review committee
Skills
Experience with Computer, Xerox Machine, Fax, Printer, Telephone, Typewriter, and all related office equipment and supplies.
Experience And Certifications
three years’ experience in a role that performs or supports provider credentialing privileging and or enrollment in either a hospital, managed care plan RCMS environment is required.
Knowledge of an experience with personal computers windows and Microsoft applications copiers and fax machines and multi-line telephone required.
Certification through National Association of medical staff services (NAMMS) this is a certified provider credential specialist (CPC) or professional medical services management (CPMSM) Preferred.