Manager, Provider Enrollment

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Medsuite Inc

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1 - 10 Mitarbeiter

⚕️ Krankenversicherung

☁️ SaaS

Healthcare Insurance • SaaS • HealthTech

Medsuite Inc. ist eine digitale Plattform, die darauf abzielt, das Gesundheitsmanagement zu optimieren und die Patientenversorgung zu verbessern. Sie bietet Gesundheitsdienstleistern Werkzeuge, um Patientenakten, Termine und Kommunikation effizient zu verwalten und gleichzeitig benutzerfreundlichen Zugang sowohl für Patienten als auch Anbieter zu gewährleisten.

Beschreibung

• 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.

🎯 Anforderungen

• 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.

🏖️ Vorteile

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