Supervisor, Provider Enrollment

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee, train, and provide support to provider enrollment personnel responsible for licensing, enrollment, privileging, reappointments, and maintaining professional credentials.

• Act as the primary leader and facilitate employee relations activities, including coaching, mentoring, and implementing corrective actions.

• Review, amend, and process staff timecards and schedules.

• Assist in preparing or conducting annual performance evaluations.

• Dispatch Medicare Revalidation notifications to all providers.

• Monitor pending claims and manage work-release correspondence.

• Conduct calls with clients and deliver updates on client statuses.

• Investigate provider enrollment-related denials in collaboration with Accounts Receivable.

• Look into provider enrollment-related rejections with Clean Claims.

• Ensure that inquiries regarding releases are addressed promptly.

• Confirm that Medicare provider enrollment tasks are finalized on schedule.

• Assist Client Management with client issues and updates.

• Complete enrollments for special initiatives and offer additional assistance as needed.

• Hold individual performance and feedback discussions with team members.

• Process requested EFT enrollments and updates in coordination with Payments.

• Develop, sustain, and monitor performance metrics.

• Prepare status reports and undertake special projects.

• Draft processes and procedures that align with regulations and payer requirements.

• Execute thorough audits of accounts, payers, or specific work activities.

• Interpret intricate regulations and departmental billing policies.

⛳️ Requirements

• A high school diploma or equivalent is required.

• A college degree is preferred.

• Minimum of two years of supervisory experience.

• At least two years of experience in Provider Enrollment.

• Familiarity with NCQA standards pertaining to provider enrollment and health plan enrollment.

• Proficient in Microsoft Office Suite and proprietary database applications.

• Exceptional verbal and written communication abilities.

• Capability to exercise independent judgment and handle confidential information.

• Strong multitasking skills, with the ability to prioritize and meet critical deadlines.

• Ability to work autonomously in a dynamic environment.

• High attention to detail and excellent organizational capabilities.

🏝️ Benefits

• Ventra performance-based incentive program.

• Referral bonus for recommending a friend.

• Discretionary incentive bonus in line with company policies.

• Reasonable accommodations available for qualified individuals with disabilities.