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Title
Text copied to clipboard!Provider Enrollment Manager
Description
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We are looking for a dedicated and detail-oriented Provider Enrollment Manager to join our team. In this role, you will be responsible for managing the entire provider enrollment process, ensuring that all healthcare providers are properly credentialed and enrolled with various insurance networks and government programs. You will work closely with providers, insurance companies, and regulatory bodies to ensure compliance with all relevant guidelines and standards. The ideal candidate will have a strong background in healthcare administration, excellent organizational skills, and the ability to manage multiple projects simultaneously. You will be expected to lead a team of enrollment specialists, providing guidance and support to ensure efficient and accurate processing of enrollment applications. Additionally, you will be responsible for developing and implementing policies and procedures to streamline the enrollment process and improve overall efficiency. Strong communication skills are essential, as you will be required to liaise with various stakeholders, including providers, insurance representatives, and regulatory agencies. A thorough understanding of healthcare regulations and insurance requirements is crucial to succeed in this role. If you are a proactive problem-solver with a passion for healthcare administration, we encourage you to apply for this exciting opportunity.
Responsibilities
Text copied to clipboard!- Oversee the provider enrollment process from start to finish.
- Ensure compliance with all relevant healthcare regulations and standards.
- Manage a team of enrollment specialists, providing guidance and support.
- Develop and implement policies to streamline enrollment processes.
- Liaise with providers, insurance companies, and regulatory bodies.
- Monitor and report on enrollment metrics and performance.
- Resolve any issues or discrepancies in the enrollment process.
- Stay updated on changes in healthcare regulations and insurance requirements.
Requirements
Text copied to clipboard!- Bachelor's degree in healthcare administration or related field.
- Minimum of 3 years experience in provider enrollment or healthcare administration.
- Strong understanding of healthcare regulations and insurance requirements.
- Excellent organizational and multitasking skills.
- Proven leadership and team management abilities.
- Strong communication and interpersonal skills.
- Detail-oriented with a focus on accuracy and compliance.
- Proficiency in relevant software and enrollment systems.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with provider enrollment processes?
- How do you ensure compliance with healthcare regulations?
- What strategies do you use to manage and motivate a team?
- How do you handle discrepancies or issues in the enrollment process?
- Can you provide an example of a policy you implemented to improve efficiency?
