Manager, Provider Enrollment
Medsuite Inc
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Manages Provider Enrollment Department operations; recruits, selects, orients, trains, coaches, counsels, and disciplines staff
- Plans, monitors, appraises, and reviews staff job contributions
- Implements cross functional training and succession planning as allowable
- Develops relationship with clients and provides regular status updates on the credentialing process
- Coordinates with client leadership and credentialing staff as necessary to obtain documents and additional information necessary to complete enrollment process
- Holds monthly (or as warranted) meetings with all levels of management to review held claims and address concerns
- Reports major issues to MGA leadership and makes aware of potential threats/opportunities
- Develops policies, guidelines, and implements procedures and ensures consistent department-wide implementation
- Enhances and standardizes work-flow processes throughout the enrollment cycle
- Monitors timeliness and effectiveness of department activities
- Compiles and prepares a variety of reports for management in order to analyze trends and make recommendations
- Conducts regular meetings with the team and provides suggestions for improvement and decision support
- Protects and safeguards company and patient information and reports suspicious activity to management
- 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 two (2) years of physician billing, hospital billing, or vendor management experience in provider enrollment functions
- At least one (1) year of supervisory/management/leadership experience preferred
- Experience with CAQH database, NPI website and maintaining EDI, EFT, and ERA processes 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 management level oral, written, and interpersonal communication skills
- Strong financial reporting skills
- Strong healthcare data analysis skills
- Strong presentation development and delivery skills
- Strong word processing, spreadsheet, database, and presentation software skills
- Strong decision-making skills
Benefits
- Ventra performance-based incentive plan
- Referral Bonus
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
physician billinghospital billingvendor managementCAQH databaseNPI websiteEDI processesEFT processesERA processesfinancial reportinghealthcare data analysis
Soft Skills
supervisory skillsmanagement skillsoral communicationwritten communicationinterpersonal communicationpresentation developmentdecision-makingcoachingcounselingteam collaboration