Manager Provider Enrollment

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JOB DESCRIPTION OVERVIEW:
Under supervision of the Provider Enrollment Director, the Provider Enrollment Manager oversees the day-to-day activities of the Provider Enrollment Team in support of department and organizational goals. Provider Enrollment is an integral part of a successful Revenue Cycle Operation and the Organization’s ability to meet financial goals, impact patient satisfaction, and client retention.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Oversees enrollment workflow processes inclusive of escalations, deficiencies, and appeals
• Reviews reports for productivity, outcomes and identify when re-assignments are necessary to load balance and/or communicate need for additional resources
• Manages PE AR utilizing company claims management database and reports
• Manages and ensures execution of ad hoc projects
• Identifies and implements process improvements with guidance from Director
• Manages start ups by gathering and disseminating information and managing milestones/deadlines
• Manages personnel, reviews/approves time cards, provides coaching, guidance, and career development
• Coordinates with Lead to oversee Associate training, onboarding, and re-education
• Conducts quality audits for payer application mark-up submissions, group enrollment applications, write-off submissions, and data integrity in Enrollment Database and claims management systems
• Manages and monitors service level agreements to ensure expectations are mutually met with business partners
• Facilitates regular team meetings and one on one meetings with individual staff
• Establishes and monitors short term individual and team goals
• Responsible for workplace safety as applicable, particularly for ensuring that public health protocols are adhered to when on-site at times when such protocols are being enforced by the organization
• Ensuring individual and team member adherence to all TeamHealth policies and procedures
• Develop and maintain professional, collaborative relationships with providers, payers and internal business partners
• Support continuous improvement and automation of provider enrollment processes by collaborating with various stakeholders to develop new or enhance existing techniques, policies and procedures
• Serve as back up to any/all functional areas within Provider Enrollment
• Other duties as assigned

QUALIFICATIONS / EXPERIENCE:

• Degree in business or management related field, preferred
• Three-five years working knowledge of management and provider enrollment process, preferably with multiple states
• High degree of judgement and independent decision-making, analytical evaluation, critical thinking, managerial and problem solving skills
• Ability to maintain composure and professionalism
• Ability to multi task and prioritize workload in a fast paced, evolving environment
• Ability to work independently and exercise sound judgement related to when to act independently and when to escalate
• Ability to work with a database
• Excellent organizational and communication skills

SUPERVISORY RESPONSIBILITIES:

• Manages Provider Enrollment Coordinators, Representatives and Specialists