Provider Enrollment Quality Assurance Specialist - Strategic Payer Relationships

Roanoke, VA, US, 24011

Job Summary

Be at your best with an organization that equips you to do so.  Whose people unite in making lives better. At Carilion Clinic, we help communities stay healthy and our region grow stronger through compassionate care, medical education and research, and neighborhood outreach. As part of our team you can expect professional stability, strong technological resources, and the advancement potential of a regional leader.

Strategic Payment Relationships is seeking candidates for Provider Enrollment.  The primary responsibility is to complete timely and accurate applications based on organization and payor requirements. In this role you will also be involved with internal and external customers to complete processes, document, and resolve issues. Exceptional customer service is expected for your role.  

If you are looking for a fast-paced position with ever changing processes, this will be a great fit.

Based in Roanoke, VA, we are an award-winning, community-based network of hospitals, primary and specialty physician practices, and affiliations with prestigious academic medical institutions. Explore how joining a regional leader can enhance your ability to learn, grow, and succeed.

Minimum Qualifications

Education: High School diploma required.  Associate Degree in Business or related field preferred, or equivalent work experience as defied below is required.

Experience: Five years of experience in physician or hospital based insurance billing, knowledge of ICD/CPT/HCPCS coding, and medical terminology helpful.   Computer experience in EPIC and Microsoft required.  

Licensure, certification, and/or registration: Epic certification/proficiency required upon accepting position or to be completed in first 6 months in position.   CPC desired.

Other Minimum Qualifications: Effective oral and written communication skills.   Must be a team player with initiative, organization skills, analytical abilities, detail orientated, and the ability to work independently as well as within a group.   Must be able to work flexible hours including overtime when needed.


Our Values

Below are our core values that we strive to embody and expect of all our team members:

Collaboration: Working together with purpose to achieve shared goals.
Commitment:  Unwavering in our quest for exceptional quality and service.
Compassion:  Putting heart into everything we do.
Courage:  Doing what’s right for our patients without question.
Curiosity:  Fostering creativity and innovation in our pursuit of excellence.


Requisition Number: 103053 
Employment Status: Full time 
Location: CASB - Carilion Administrative Services Building 
Shift: Day 
Shift Details: M-F
Recruiter Email:
For more information, contact the HR Service Center at 1-800-599-2537.

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning
hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.


Nearest Major Market: Roanoke

Job Segment: EMR, QA, Quality Assurance, ICU, NICU, Healthcare, Technology, Quality