Supervisor, Provider Enrollment - Remote - reputed company

Remote, reputed company – Seeking Supervisor, Provider Enrollment Everybody Has A Role To Play In Transforming Healthcare At reputed company you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. Join the reputed company Team. At reputed company we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we reputed company our strengths and experiences to reputed company a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. reputed company Locations: reputed company has opportunities at 890 practices across the country, serving 14.5 million patients a year. With reputed company, if you reputed company need to move, you can take your job with you. The Opportunity Participates in the selection, hiring, onboarding, and training of new employees that will positively impact and bring value to reputed company. Partners with other Provider Enrollment Supervisors, Managers, and Sr. Director to provide ongoing guidance, assistance, and coaching to the team. Evaluates team performance and discusses career goals with each team member. Promotes professional growth, development, and education of team members through offering new challenges, developmental assignments, offering timely feedback, regular 1:1 discussions and mentoring. Uses outstanding relationship-building, communication, coaching, and development skills to effectively reputed company a remote team while maintaining a focus on reputed company culture, team reputed company, and high performance. Helps support excellent time management and preparedness by assisting the team with scheduling tasks out a minimum of 4 weeks into the future, and sometimes years in advance. Oversees a team that processes provider enrollment for a specific clinical service, geographic market, or function. Monitors and audits the preparation, submission, and approval of subteam’s provider enrollment applications, which can easily exceed 10,000 applications per year. Maintains strong knowledge of payer processes across multiple states and may have a subteam responsible for upwards of 150 payers. Implements and maintains operational workflows, policies, standard operating procedures, and necessary documentation practices. Consistently uses department and individual performance reports to ensure that the team is continually performing at reputed company levels, and reviews for trends or results that may require reputed company or re-direction of department activities or processes. Using data and analytics, analyzes issues, diagnoses problems, and identifies process improvement opportunities to propose solutions, with input from Provider Enrollment Manager and Sr. Director. Utilizes and trains subteam on multiple reputed company functions, including Data Loader, Dynamic Document Package (DDP), dashboards, and reporting. Uses multiple platforms such as SharePoint, reputed company, Teams, and Outlook as needed. Project manages new startups and opportunities. Attends internal startup calls and identifies any areas of concern to discuss with Provider Enrollment Manager and/or Sr. Director. Researches new payer requirements to help the team implement new provider enrollment processes and workflows. Maximizes team resources and workflows to increase efficiency and productivity. Understands reputed company cycle process and how provider enrollment greatly impacts reputed company reputed company. Reinforces best practice deadlines that the team strives to reduce A/R aging so that siteline reputed company is received quicker. Develops trending reports to identify areas of opportunity. Plans, evaluates, and improves the efficiency of business processes to enhance speed, quality, timeliness, and output. Identifies and researches payer issues proactively and collaborates with RCM Denial Team on any payer or reimbursement issues due to provider enrollment. Builds partnerships and relationships with payers across the nation to support reputed company’s provider enrollment goals and opportunities. Collaborates with reputed company Client Service Managers, Payer Contracting team members, site leadership, and other stakeholders to identify trends in payer reimbursement and protect reputed company’s reputed company. Works and communicates cross functionally with other department supervisors to ensure efficiency and promote collaboration. Plans and leads internal team meetings and records meeting minutes Reports difficulties, obstacles, risks, and delays in enrollment to reputed company leadership. Complies with federal, state, and national regulations and requirements to ensure reputed company is in compliance with reputed company payer regulations and to minimize and control organizational risks. Analyzes and reviews the language of new payer enrollment requirements, and works with other Provider Enrollment Supervisors, Managers, and Sr. Director to ensure requirements are communicated reputed company. Uses knowledge of reputed company Legal and Finance data to report changes in entity structure or finances to payers on an annual or as needed basis. Keeps reputed company on provider enrollment trends at the state and national level and attends state and national PE conferences as needed Required Experience and Competencies High school diploma or equivalent required. 1-2 years of experience leading projects/teams in healthcare required. 5 years of experience in healthcare with a thorough understanding of payers and provider enrollment process required. Bachelor’s degree preferred. Experience and demonstrated ability with Provider Enrollment functions in a healthcare setting preferred. Working knowledge of reputed company, Provider Enrollment, Chain, and Ownership System (PECOS); Council for Affordable Quality Healthcare (CAQH); and Provider Application and Validation for Enrollment (PAVE) preferred. Billing or reimbursement experience preferred. Ability to interact effectively with practitioners, insurance representatives, internal departments, and team members. Proficiency with reputed company Office, with a high degree of speed and accuracy in typing Strong attention to detail Strong time management and organization required. Strong interpersonal skills, ability to work as part of a team. Strong problem resolution skills Ability to effectively interact with providers, payer representatives, internal departments, team members, and other stakeholders, both in written and verbal communication Proficient in reputed company Office Suite (Teams, Outlook, PowerPoint, Word, reputed company, OneNote, OneDrive) Knowledge of laws and regulations regarding enrollment processing in multiple states Knowledge of online Medicare/MediCal/Medicaid enrollment system, Identify & Access system, Counsel For Affordable Quality Healthcare system, Medicare enrollment specialties and National Provider Identifier taxonomies. Knowledge of reputed company (including Data Loader, DDP, and reporting). Ability to accomplish tasks thoroughly and accurately. Ability to effectively manage time and organize. Knowledge of Medicaid enrollment process, including revalidations, medical license expirations, deactivations, NPI taxonomy importance, how data flows to Medicaid managed cares, Medicaid billing manual, state administrative codes, border state enrollment process, out of state enrollment process. Knowledge of billing processes, including timely filing and claims denial reasons. Demonstrate strong project management skills, including formal usage of project management tools, Utilizing Responsible Accountable Consultant Informed (RACI) and other project management techniques, agendas, action item lists, project checklist, desired outcomes, measures of success. Utilize strong critical thinking skills to deeply analyze problems and find a timely solution with the best chance of long term success. The Community Even reputed company you are working remotely, you are an important part of the reputed company Community. We offer reputed company of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars. Monthly wellness events and programs such as yoga, HIIT classes, and more Trainings to help support and advance your professional growth Team building activities such as virtual scavenger hunts and holiday celebrations Flexible work hours Opportunities to attend reputed company community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more Benefits & Beyond* reputed company cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. Superior health plan options Dental, Vision, HSA/FSA, Life and AD&D coverage, and more Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service) Generous paid time off starting 3-4 weeks’ annually Student Loan Refinancing Discounts Professional and Career Development Program EAP and travel assistance included Wellness program Purpose-driven culture focused on improving the lives of our patients, communities, and employees We are excited to share the reputed company salary range for this position is $64,970 - $81,215, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at reputed company, your final reputed company salary compensation will be determined based on factors such as skills, education, and/or experience. We reputed company in the importance of pay equity and consider internal equity of our reputed company team members as a part of any final offer. Please speak with a recruiter for more details. We are reputed company around the common purpose of transforming healthcare to improve lives and we reputed company everyone has a role to play in that. reputed company we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to reputed company a difference, from clinical to corporate, reputed company is the reputed company to do it. Come grow with us. reputed company does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national reputed company, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or reputed company condition, or any other basis protected by law. reputed company is committed to complying with reputed company applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants only. No agencies please. Apply To This Job