Application Support Representative - Greenville, NC

If you are interested in multiple opportunities, you will need to apply for each position separately.

Apply Now

932114

Vidant Health

Full Time

Regular

Vidant Health

About Vidant Health

Vidant Health is a regional health system serving 29 counties in eastern North Carolina. We are working every day to improve the health of the 1.4 million people we serve. Vidant Health is made up of 8 hospitals, physician practices, home health, hospice, wellness centers and other health care services. Vidant Medical Center is affiliated with the Brody School of Medicine at East Carolina University. As a major resource for health services and education, Vidant Health strives to support local medical communities and to work with providers throughout the region to deliver quality care. Our goal is to enhance services that are available locally and to eliminate barriers involving time, distance and lack of awareness that sometimes prevent patients from receiving the care they need.

Responsibilities

Non-Privileged Referring, New, and Updating Provider Support:

  • Under general supervision, follows procedures set forth in the Vidant Policies and Procedures.
  • Ensures the accuracy of applications and information received
  • Receives and logs verification requests specific to new referring providers.
  • Will obtain verifications through multiple and appropriate resources.     
  • Collects all pertinent information of referring provider's status and License from the state of the referral (excludes Military Provider).   
  • Maintains communication with referring provider relative to documentation requirements.
  • Communicates new referring provider information along with provider number to appropriate internal and external stakeholders. 
  • Enters all relevant and necessary information into CACTUC system and all other applicable data.
  • Demonstrates the ability to communicate professionally and clearly in both verbal and written form.

Application Support:

  • Submits an application link, introduction letter and instructions to the prospective provider and a copy to the requester. 
  • Provides applicants and requesters with technical and application solution support.
  • Review applications for completeness and communicates with the provider and requester any missing/incomplete information required.    .
  • Send weekly application report status to appropriate entity representatives as assigned by CVO Manager.
  • Enters privileging and payor enrollment tabs and credentialing instances within CACTUS as applicable.

Participates in departmental functions

  • Works in harmony and unison with all personnel within the department and throughout Vidant Health.
  • Promotes and assists in the smooth, efficient delivery of departmental services to providers, other Vidant Health departments, and outside agencies.
  • Performs needed departmental projects.
  • Participates in performance improvement activities.
  • Attends all required educational offerings annually.

Minimum Requirements

  • High school or equivalent
  • Three years experience in a role that performs or supports provider credentialing and enrollment in a hospital, managed care plan or CMS environment is preferred. 
  • Required knowledge of and experience with personal computers, Windows and Microsoft applications, copier and fax machines and multi-line telephone. 
  • Experience in typing, word processing, and business correspondence is required.
  • Experience with primary source verifications, Medicare, Medicaid, NCQA and DOI standards are preferred.

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Share This: