Supervisor Provider Enrollment

Intermountain Health

8d • $25 - $39 • Onsite

About The Position

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.

Requirements

• 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
• Leadership
• Problem resolution
• Communication
• Denial Management
• Medicare
• Medicaid
• Process Improvement

Nice To Haves

• Previous work experience in revenue service center, preferred
• Previous work experience with provider credentialing and/or enrollment, preferred.
• Knowledge in Verity
• Knowledge in EPIC
• EPIC Preferred

Responsibilities

• 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.

Benefits

• 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.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED
• Number of Employees: 11-50 employees