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operations supervisor provider enrollment
3 weeks ago
Description
The Provider Enrollment Lead is responsible for training and overseeing offshore team members, assisting the manager in credentialing new and established healthcare providers, and ensuring adherence to departmental policies and procedures.
Responsibilities
Assist in resolving issues related to the provider education process, including application completion and submissionAid in collecting, updating, and maintaining necessary provider information and documentationSupport the completion of enrollment follow-ups by clients and payers within specified parametersEnsure timely and thorough completion of both initial and recredentialing applicationsHelp verify provider and group information with insurance companiesFacilitate the organization of information for the enrollment and termination of all providers, and communicate with the team and clients as neededCollaborate with the manager and monitor work queues, smart feeds, and other reports, identifying areas for improvementSchedule and conduct training activities for the onshore and offshore team related to enrollment follow-upsDocument and record training sessions for future referenceProvide timely feedback to offshore provider enrollment staff regarding QA processes and resultsIdentify challenges faced by offshore and offer guidance when needed RequirementsAt least 1 year of Provider Enrollment experienceBackground in a supervisory or similar roleKnowledge of Payor/Insurance BenefitsProficiency in Epic, GE, eClinicalWorks is a plus Working ConditionsPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hearMental Demands: The employee must be able to follow directions, collaborate with others, and handle stressWork Environment: The noise level in the work environment is usually minimal-
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