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Assists with provider enrollment, revalidation, and maintenance activities for payer networks, including data review and documentation support.
Supports analysis and reconciliation of provider enrollment data across internal systems and external payer platforms to ensure accuracy and compliance.
Maintains and validates provider demographic, credentialing, and participation data used for payer network management and reimbursement activities.
Performs basic data analysis related to payer enrollment status, network participation, and operational performance metrics.
Prepares reports, spreadsheets, and project summaries to support Provider Enrollment and Strategic Payment Relationships initiatives.
Collaborates with Provider Enrollment, SPR, Credentialing, Revenue Cycle, and other internal stakeholders to support cross-functional workflows.
Participates in assigned projects designed to improve efficiency, data integrity, or operational processes within Provider Enrollment.
Meets regularly with an assigned Manager or Mentor to review progress, discuss learning objectives, and receive guidance and feedback.
Consistently delivers excellent customer service while demonstrating respect, professionalism, and collaboration in interactions with internal partners, providers, and external payer representatives.
Champions Carilion Clinic’s mission, vision, and values while adhering to organizational policies, ethical standards, and code of conduct.
Education: Two years of high school required. Some internships may require a bachelor's degree; or enrolled in and nearing completion of an undergraduate degree or terminal degree in a field relevant to the internship
Licensure, certification, and/or registration: Clinical interns may be required to be enrolled in an accredited professional program (e.g., pharmacy, nursing, allied health) and meet regulatory or licensure-related requirements.
Other Minimum Qualifications: Ability to work efficiently, manage time wisely, and follow policies and procedures with minimal supervision. Strong communication, organizational, and interpersonal skills. Ability to work collaboratively in a team-oriented environment. Demonstrated initiative, professionalism, and willingness to learn. Ability to maintain confidentiality and handle sensitive information appropriately.
Must be at least 16 years of age. Assignments that use chemicals or power tools require intern to be at least 18 years of age.
This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
Recruiter:
MARK MISKOVICRecruiter Email:
[email protected]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. That’s 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 you’re away.
When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:
Carilion Services
Carilion Clinic is a not–for–profit health care organization based in Roanoke, Va. Through our comprehensive network of hospitals, primary and specialty physician practices and other complementary services, we work together to provide quality care
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