Manager, Provider Services

November 26

🏈 Alabama – Remote

Although this job is listed in Alabama, this company may be open to hiring remote in other states.

🌵 Arizona – Remote

Although this job is listed in Arizona, this company may be open to hiring remote in other states.

+17 more states

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌾 Nebraska – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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RethinkFirst

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Healthcare Insurance • Artificial Intelligence • Education

RethinkFirst is a company dedicated to transforming behavioral health through clinical expertise, data science, and technology. By leveraging these strengths, RethinkFirst aims to empower its customers and drive improved outcomes, thereby positively impacting the lives of millions worldwide. The company provides solutions for various sectors, including schools and businesses, by supporting students and employees alike with mental health resources and tools. With substantial contributions in education, such as working with eight of the largest school districts and supporting over 3 million students, and in corporate wellness, such as reducing absenteeism for companies like Volvo, RethinkFirst utilizes AI and big data to predict patient progress and enhance clinical outcomes. Its services extend across 225 countries, significantly influencing 11 million lives globally.

51 - 200 employees

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

📚 Education

📋 Description

• Ensure strict HIPAA-compliant confidentiality with all client-related data. • Oversee the day-to-day operations of Rethink’s Provider Services Team. • Supervise a team of Enrollment & Credentialing Specialists and Benefit and Authorization Specialists; including but not limited to assigning and monitoring workloads, operational productivity and performance, and management of procedures and workflows. • Serve as the Enrollment & Credentialing and Benefit and Authorization subject matter expert resource internally and externally. • Identify and implement opportunities to improve the quality of Enrollment & Credentialing and Benefit & Authorization Management services that result customer satisfaction. • Assess existing processes to ensure Rethink’s Enrollment & Credentialing services and Benefit and Authorization Management services are being provided based on payor current requirements and best practices. • Make recommendations to Rethink leadership to address and improve operational protocols for the Provider Services department that focus on enhanced customer experience. • Communicate staff hiring needs based on existing and projected workload capacity based on new customer account acquisitions. • Train, direct, develop and evaluate staff. • Develop and perform routine quality assurance audits to ensure timelines for Enrollment & Credentialing applications/contracts are being met. • Develop and perform routine quality assurance audits to ensure timelines for Benefit and Authorization Management SLAs are being met. • Ensure that all BAM spreadsheets are being maintained ongoing for organization, communication purposes and for customer invoicing. • Interview candidates, make recommendations for hire and termination when applicable. • Document and communicate updated payor billing requirements to Provider Services members. • Facilitate regular staff meetings that focus on key business metrics and best practices. • Manage account caseload as needed.

🎯 Requirements

• Minimum 5-7-years Supervisory experience • Minimum 7-10-years Insurance Billing/Enrollment & Credentialing experience • Strong verbal and interpersonal skills • Positive attitude and loves a good challenge • Exceptional leadership qualities • Experience using Salesforce • Bachelor’s degree preferred • Minimum of 10 years Supervisory experience • Minimum 10 years of Insurance Billing/Provider Enrollment & Credentialing experience • Experience leading teams • Customer service experience required • Proficient using Microsoft Suite (Excel, Outlook, Word) • Experience using billing software Tebra or Azalea • Experience using various Credentialing software (Echostream, etc.)

🏖️ Benefits

• PTO and Vacation Days after a 90-day introductory period • Paid Holidays • Generous Health, Dental & Vision benefit packages • 401k + Matching