Intermountain Health
Supervisor Provider Enrollment
Intermountain Health, Montgomery, Alabama, United States, 36136
Job Description
The Provider Enrollment Supervisor is responsible for supervising, training and onboarding new hires to the Provider Enrollment team. Complete and monitor, and report on government and / or commercial payer enrollments for both technical and/or professional fee claim reimbursement. Assist in minimizing provider enrollment AR by monitoring enrollment accuracy & consistency, resolving issues affecting days in enrollment.
Essential Functions
Oversee the Provider Enrollment day-to-day operations. Coordinates, implements and tracks initial enrollment and re-enrollment processes in accordance with departmental and organizational policies and procedures, with emphasis on detail and to meet deadlines.
Identify trends in all functional areas to allow for training, development and continuous process improvement utilizing Lean tools and principles. Resolves any enrollment billing issues, from patients, clinics, and Revenue Service Center, that may affect revenue and patient and provider satisfaction. Strong knowledge of CAQH credentialing and recredentialing, and NCQA guidelines
Responsible for primary oversight of revenue cycle functions such as claims processing, denials, payments, customer service, and follow up on accounts related to Provider Enrollment Claims.
Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees.
Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
Skills
Provider Enrollment
Leadership
Problem resolution
Communication
Denial Management
Medicare
Medicaid
Process Improvement
Minimum Qualifications
High School graduate or equivalent, required.
At least one (1) year of previous work experience in a healthcare setting, preferred.
1 year experience in Provider Enrollment
EPIC
Preferred Qualifications
Previous work experience in revenue service center, preferred
Previous work experience with provider credentialing and/or enrollment, preferred.
Knowledge in Verity
Knowledge in EPIC
Physical Requirements
Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set‑up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location Peaks Regional Office
Work City Broomfield
Work State Colorado
Scheduled Weekly Hours 40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$25.02 - $39.41
We care about your well‑being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence (\"AI\") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
#J-18808-Ljbffr
Essential Functions
Oversee the Provider Enrollment day-to-day operations. Coordinates, implements and tracks initial enrollment and re-enrollment processes in accordance with departmental and organizational policies and procedures, with emphasis on detail and to meet deadlines.
Identify trends in all functional areas to allow for training, development and continuous process improvement utilizing Lean tools and principles. Resolves any enrollment billing issues, from patients, clinics, and Revenue Service Center, that may affect revenue and patient and provider satisfaction. Strong knowledge of CAQH credentialing and recredentialing, and NCQA guidelines
Responsible for primary oversight of revenue cycle functions such as claims processing, denials, payments, customer service, and follow up on accounts related to Provider Enrollment Claims.
Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees.
Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
Skills
Provider Enrollment
Leadership
Problem resolution
Communication
Denial Management
Medicare
Medicaid
Process Improvement
Minimum Qualifications
High School graduate or equivalent, required.
At least one (1) year of previous work experience in a healthcare setting, preferred.
1 year experience in Provider Enrollment
EPIC
Preferred Qualifications
Previous work experience in revenue service center, preferred
Previous work experience with provider credentialing and/or enrollment, preferred.
Knowledge in Verity
Knowledge in EPIC
Physical Requirements
Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set‑up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location Peaks Regional Office
Work City Broomfield
Work State Colorado
Scheduled Weekly Hours 40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$25.02 - $39.41
We care about your well‑being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence (\"AI\") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
#J-18808-Ljbffr