Manager, Provider Enrollment

Job Description

Job Description

Purpose

The Manager will supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. This position is client facing and will manage the day-to-day processes of the staff.

Duties and Responsibilities

1. Oversee all employees in the provider enrollment department
2. Research and resolve any issues that arise
3. Monitor training of new hires and current employees on processes and procedures
4. Resolve any department issues with department Associate Director
5. Maintain and update credentialing reports
6. Communicate provider enrollment status to providers, Client Services and Billing Operations as needed
7. Attend regularly scheduled meetings
8. Ensure cooperative team environment
9. Manage recruitment process
10. Comply with all State and Federal Laws regarding an effective Compliance Program inclusive of HIPAA Privacy and Security
11. Review and approve time and attendance records according to company standards
12. Provide on-going feedback and annual performance reviews
13. Uphold company mission, vision and values
14. Proactively monitor company policies and address transgressions appropriately
15. Facilitate meetings within department and make presentations to senior management as needed
16. Monitor and enforce compliance with all pertinent local, state, and federal laws and regulations relating to operations and employment

Qualifications

To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

Education (Degrees, Certificates, Licenses, Etc.)

Bachelor’s degree or equivalent combination of education and experience required.

Computer Skills

Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

Experience

1. 2 - 4 years prior management experience and strong knowledge of the provider enrollment process.
2. Prior experience in a healthcare setting preferred.

Specific Job Knowledge, Skill and Ability

1. Ability to implement and use multiple system applications and strive for process improvement in a busy, multi-client office
2. Must possess the proven ability to build a knowledgeable staff to maintain strong client/provider relationships and comprehend and communicate contract information
3. Knowledge of Microsoft Word, Excel and Outlook required for daily use
4. Ability to handle client and provider information discreetly and confidentially
5. Ability to organize information with a strong attention to detail
6. Ability to build and maintain strong client/provider relationships
7. Ability to comprehend and communicate contract information
8. Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
9. Ability to write routine reports and correspondence
10. Ability to communicate effectively verbally and in writing
11. Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
12. Ability to deal with problems involving several concrete variables in standardized situations
13. Specific vision abilities required by this job include close vision
14. Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

Powered by JazzHR

U43QPW2UJv