Provider Enrollment Manager

POSITION SUMMARY: 

Essential Duties and Responsibilities:

• Manage the daily activities of the enrollment team; hiring and training, ensuring compliance with policies and procedures, counseling employees both ongoing and as part of the annual review process, ensure performance standard are achieved; approve time off and ensure staffing assignments align with the business needs of the company
• Mentor employees, counsel and provide disciplinary actions to assigned personnel, and works to facilitate individual and team development that drives positive results.
• Troubleshoot issues and provide technical support for their team.
• Facilitates daily workflow assignments to ensure all areas are covered. Strategically assigns representatives based on skills and aptitude.
• Responsible for maintaining adequate staffing levels in the department and interviewing job applicants
• Create and communicate management goals and objectives to team
• Collaborates activities between departments to ensure no breakdown in the enrollment process
• Analyzes and prepares reports on trends in the enrollment process
• Responsible for developing benchmarks and performance metrics for the team and implementing the initiatives of the company’s goals and objectives.
• Develop and implement policies and procedures to ensure enrollment process functions at high service levels
• Work closely with leaders in the areas of RCM, Operations, Finance, Human Resources, Information Systems, Managed Care and Compliance to achieve business objectives and implement organizational strategy
• Ensures applications are properly verified and accurately loaded into database system
• Administers the enrollment system to ensure information kept in the system is tracked appropriately and that the system workflow is sufficient to ensure proper service levels. 
• Coordinates all provider enrollment activities for current and potential providers to ensure that provider numbers and required documents are always current
• Responsible for collaboration between departments regarding provider enrollment issues and/or concerns
• Process applications government and managed care entities; contacts providers regarding missing information when necessary
• Ensures the data integrity of the enrollment system
• Ensures that the enrollment system is fully utilized, maintained and kept up-to-date
• Conducts audits to ensure the provider enrollment process is efficient
• Generates reports and queries reporting results to Management
• Reviews all applications and other provider enrollment information for thoroughness and completion prior to being sent to government entities, managed care plans or internal department and management
• Continually instills and maintains the highest level of customer service within the department
• Participates in identification, development and implementation of systems to improve efficiency in the registration process.
• Maintains close contact with division heads, providers, administrators, managed care department and internal departments regarding status of applications and provider enrollment process.
• Work closely with Physician Recruiter and Human Resources to maintain accurate status of all recruits.
• Maintains provider files and provider enrollment documentation
• Continually identifies process improvement methods and ways to automate processes to increase efficiency.
• Provides interface with other NPH departments, off-site locations as needed
• Adhere to all company policies and procedures.
• Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered.  Report information systems security problems.
• Maintain employee timecards and payroll tasks.
• Monitor employee Paid time off process.
• Partner with Human Resources on any programs throughout the year: Performance Management, Merit Process, ect..

• Perform other duties as assigned.