Director, Provider Enrollment

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 10%

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Ventra Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2021

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Ventra Health is a healthcare revenue cycle management (RCM) company that provides end-to-end medical billing, coding, claims management, denial prevention, payer contracting, and collections services for hospitals, health systems, and physician practices across the U. S. Its offerings combine domain expertise and white‑glove client service with proprietary data and AI-powered platforms—vCision (AI & automation) and vSight (data & analytics)—to improve reimbursement, reduce denials, accelerate cash collections, and deliver measurable RCM performance improvements. Ventra emphasizes enterprise service delivery, provider education, compliance and coding audits, patient responsibility management, and payer strategy, serving thousands of providers and facilities nationwide.

📋 Description

• Direct and manage the Provider Enrollment department’s day-to-day operations • Recruit, select, orient, train, coach, counsel, and discipline staff • Develop relationships with Provider Enrollment teams and document organizational needs and priorities • Oversee the provider enrollment lifecycle, including new enrollment, reenrollment, enrollment denials, and client-level special projects • Monitor client-level metrics and ensure timeliness and accuracy of enrollment activities • Develop client relationships and provide regular status updates on credentialing deliverables • Recommend workflow improvements throughout the enrollment cycle • Develop and recommend policies and guidelines and implement procedures for consistent department-wide adherence • Hold management meetings to review held claims, client provider enrollment status, and provider enrollment inventory • Monitor department activities, identify gaps, and implement processes to improve timeliness and effectiveness • Compile and prepare management reports to analyze trends and make recommendations • Perform special projects and other assigned duties

🎯 Requirements

• High School diploma or equivalent • At least five (5) years of physician billing, hospital billing, or vendor management experience in provider enrollment functions • Knowledge of provider enrollment requirements for physician billing and multi-state experience preferred • Knowledge of business and financial processes and procedures • Knowledge of medical terminology and anatomy • Knowledge of medical record documentation requirements • Strong supervisory/management skills • Strong leadership development and team building 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, problem-solving, organizational, time management, and mathematical skills • Ability to present financial reporting and healthcare analytics to executives, managers, clients, and customers • Ability to adapt communication style to different audiences • Ability to communicate professionally with business stakeholders and IT staff • Ability to identify recurring issues and solve front-end issues • At least two (2) years of supervisory/management/leadership experience preferred • Experience with CAQH database, NPI website, and maintaining EDI, EFT, and ERA processes preferred

🏖️ Benefits

• Ventra performance-based incentive plan • Discretionary incentive bonus in accordance with company policies • Referral bonus • Reasonable accommodations for qualified individuals with disabilities