Provider Enrollment Specialist

Job Description:

New Horizon Family Health Services (NHFHS) is a Federally Qualified Health Center (FQHC) that has been improving the health of the communities we serve since 1992. We offer quality health care for anyone needing a family doctor and medical home. Our years of experience and commitment to excellence have earned us the reputation as a trusted source of quality medical, dental, and behavioral health care. 

Details:

• This position is responsible for completing all applications for payer plans for purposes of billing and reimbursement for health care services. This includes incorporation of information gathered from the credentialing process. The Provider Enrollment Specialist is responsible for coordinating, monitoring and maintaining the provider enrollment and re-enrollment process in a timely and compliant manner with all government and commercial plans.

Experience and Skills:

Education:

• Minimum of Associate Degree in Healthcare Administration, Business Administration, or related fields

Knowledge and Skills:

• Minimum of two (2) years’ experience in provider enrollment, revenue cycle management or provider credentialing
• Proficiency in Computer Skills (Excel, Databases, Microsoft Office Suite).
• Knowledge of insurance regulation and compliance.
• Experience with PECOS and the utilization of the SC Healthy Connections portal.
• Main high levels of organization while being extremely focused on detail.
• Must be able to prioritize work tasks.
• Must be able to maintain composure and professionalism under circumstances that may become stressful.
• Displays good manual dexterity, ability to sit for prolonged periods of time, change from sitting to standing positions with ease, has good visual acuity.
• Has ability to understand and follow in detail both verbal and written instructions.
• Has ability to display flexibility as work flows change.
• Maintains a neat/well-organized work area. 
• Maintains adequate amount of supplies.

Benefits

New Horizon Family Health Services offers a robust and comprehensive benefit package to full time employees. These choices/options include:

• Paid vacation, holidays and sick leave

Optional Benefits which include:

• Medical (PEBA State Health Plan), Dental and Vision benefits
• Flexible Spending and Health Savings Accounts
• Voluntary Life Insurance
• Short Term Disability and Long Term Disability
• Optional contribution to a 403 (b) Retirement Plan, with up to 4% employer match after the first year of employment
• Continuing education courses through SC AHEC

Mission:

Our Mission is to provide quality, affordable, compassionate patient-centered health care to improve the health of the communities we serve. Our Vision is that our community will be one of the healthiest in the Nation. Superior patient care is the hallmark of NHFHS.

Community:

Greenville, South Carolina is the perfect place to live, work, and play. Greenville is surrounded by mountains, lakes, hiking & biking trails, as well as recreational activities including golf, tennis, water sports, cultural performances and more. Geographically located between Atlanta, GA and Charlotte, NC, with beaches just 3.5 to 4 hours away.

We are an Equal Opportunity employer.