Supervisor, Provider Enrollment

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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

• Supervise, train, and support provider enrollment staff handling licensing, enrollment, privileging, reappointments, and professional credential maintenance • Serve as first-line leader and support employee relations activities including coaching, mentoring, and corrective action • Review, edit, and process employee timecards and schedules • Assist with or prepare annual performance reviews • Send Medicare Revalidation reminders for all providers • Monitor held claims and work-release emails • Conduct client calls and provide client status updates • Research provider enrollment-related denials with Accounts Receivable • Research provider enrollment-related rejections with Clean Claims • Ensure questions regarding releases are answered promptly • Ensure Medicare provider enrollment items are completed on time • Support Client Management with client concerns and updates • Complete enrollment for special projects and provide additional support • Hold one-on-one performance and feedback meetings with staff • Process requested EFT enrollments and updates with Payments • Develop, maintain, and track performance measures • Prepare status reports and perform special projects • Draft processes and procedures consistent with regulations and payer requirements • Conduct deep-dive audits of accounts, payers, or individual work • Interpret complex regulations and department billing policies

🎯 Requirements

• High school diploma or equivalent required • College degree preferred • Two years of experience in supervision • Two years of experience in Provider Enrollment • Knowledge of NCQA standards related to provider enrollment and health plan enrollment • Proficiency in Microsoft Office Suite and proprietary database applications • Excellent verbal and written communication skills • Ability to use independent judgment and manage confidential information • Ability to multitask, manage priorities, and meet critical deadlines • Ability to work independently in a fast-paced environment • High awareness of pertinent details and excellent organizational skills

🏖️ Benefits

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