Director, Provider Enrollment
Medsuite Inc
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Lead
About the role
- Oversees the Provider Enrollment team and day-to-day Enrollment operations
- Directs, leads, and manages the Provider Enrollment department’s day-to-day operations
- Develops relationships with Provider Enrollment teams and documents needs and organizational priorities
- Ensures success of the provider enrollment lifecycle by monitoring client level metrics as well as ensuring timeliness and accuracy of team’s enrollment activities related to new enrollment and reenrollment
- Develops relationships with clients and provides regular status updates on credentialing related deliverables
- Makes recommendations on work-flow processes throughout the enrollment cycle to assist in achieving consistency and success
- Monitors timeliness and effectiveness of department activities, implements processes to identify gaps
- Compiles and prepares a variety of reports for management in order to analyze trends and make recommendations
- Performs special projects and other duties as assigned
Requirements
- High School diploma or equivalent
- Bachelor’s Degree in Healthcare Administration, Business Administration, Benefits, or equivalent training and/or experience preferred
- At least five (5) years of physician billing, hospital billing, or vendor management experience in provider enrollment functions
- At least two (2) years of supervisory/management/leadership experience preferred
- Experience with CAQH database, NPI website and maintaining EDI, EFT, and ERA processes preferred
- Knowledge of provider enrollment requirements for physician billing and multi-state experience preferred
- Knowledge of business and financial processes, procedures, and processes
- Knowledge of medical terminology and anatomy
- Knowledge of requirements of medical record documentation
- Strong supervisory/management skills
- Strong financial reporting skills
- Strong healthcare data analysis skills
- Strong decision-making skills
- Strong organizational skills
- Ability to effectively present information, including financial reporting and healthcare analytics, and respond to questions from groups of executives, managers, clients, and customers
Benefits
- Eligible for our Ventra performance-based incentive plan
- Refer a Friend program with a referral bonus
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
physician billinghospital billingvendor managementCAQH databaseNPI websiteEDI processesEFT processesERA processesfinancial reportinghealthcare data analysis
Soft skills
supervisory skillsmanagement skillsleadership skillsdecision-making skillsorganizational skillscommunication skills
Certifications
Bachelor’s Degree in Healthcare AdministrationBachelor’s Degree in Business Administration