Manager, Provider Enrollment

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Medsuite Inc

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1 - 10 funcionários

⚕️ Seguro de Saúde

☁️ SaaS

Healthcare Insurance • SaaS • HealthTech

A Medsuite Inc. é uma plataforma digital projetada para otimizar a gestão de saúde e melhorar o atendimento ao paciente. Ela oferece ferramentas para que profissionais de saúde possam gerenciar prontuários, agendamentos e comunicações de forma eficiente, sempre priorizando o acesso amigável tanto para pacientes quanto para provedores.

Descrição

• 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 on a regular basis. • 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 to assist in achieving consistency and success. • 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.

🎯 Requisitos

• 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.

🏖️ Benefícios

• Ventra performance-based incentive plan • Referral bonus • Health insurance • Retirement plans • Paid time off