Provider Enrollment Manager

4 days ago

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Medsuite Inc

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Medsuite Inc. is a company focused on enhancing healthcare services through digital solutions. Although the provided text is largely related to user account management, it suggests that Medsuite Inc. likely offers a platform or service for healthcare professionals or patients, facilitating tasks like scheduling, patient management, or other administrative functions.

1 - 10 employees

⚕️ Healthcare Insurance

☁️ SaaS

⚡ Productivity

📋 Description

• Oversee the Provider Enrollment Department operations • Recruit, select, orient, train, coach, counsel, and discipline staff • Plan, monitor, appraise, and review staff job contributions • Implement cross functional training and succession planning • Develop relationships with clients and provide regular status updates on the credentialing process • Coordinate with client leadership and credentialing staff as necessary • Hold monthly meetings with management to review held claims and address concerns • Report major issues to MGA leadership and making aware of potential threats/opportunities • Develop policies, guidelines, and implement procedures • Enhance and standardize work-flow processes throughout the enrollment cycle • Monitor timeliness and effectiveness of department activities • Compile and prepare reports for management analysis

🎯 Requirements

• 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

🏖️ Benefits

• Equal Employment Opportunity • Reasonable accommodations for qualified individuals with disabilities