Provider Enrollment Account Manager

About the Role

The ideal candidate will have a minimum of 3 years of provider enrollment experience, with a deep understanding of the credentialing and provider enrollment process. You will be working closely with the enrollment team, providing guidance and support to ensure the successful onboarding of new providers. Your ability to multitask, prioritize, and manage your time effectively will be essential in this fast-paced environment.

What You Will Do

• Serve as the primary point of contact for clients, responding to inquiries and resolving issues in a timely and professional manner
• Compile and maintain current and accurate data for all providers, ensuring compliance with regulatory requirements
• Complete statewide credentialing and recredentialing applications for commercial payers, Medicare, and Medicaid
• Monitor the application process end-to-end, following up with payers and providers as needed
• Train and manage Enrollment Specialists, providing guidance and support to ensure the successful onboarding of new providers
• Reconcile provider enrollment data and payor rosters, ensuring accuracy and consistency across all systems
• Maintain the internal provider database, ensuring all information is up-to-date and accurate
• Collaborate with cross-functional teams to ensure seamless communication and effective issue resolution
• Develop and implement process improvements, identifying opportunities for increased efficiency and productivity
• Stay current with industry developments, attending training sessions and conferences to maintain expertise

What We Are Looking For

• Minimum of 3 years of provider enrollment experience, with a deep understanding of the credentialing and provider enrollment process
• Excellent multi-tasking, prioritizing, and time management skills, with the ability to work in a fast-paced environment
• Strong customer service skills, with the ability to communicate clearly and effectively with both internal and external stakeholders
• Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization
• Strong analytical and problem-solving skills, with the ability to analyze complex data sets and develop creative solutions
• Proficiency in Excel, with experience working with large datasets and performing complex data analysis
• Knowledge of digital healthcare and the role of data management in this field

Nice to Have

• Experience working with electronic health records (EHRs) and practice management systems (PMS)
• Certification in provider enrollment or a related field, such as CPC or CPMA
• Experience working in a remote or hybrid environment, with the ability to work independently and as part of a team

Benefits and Perks

• Competitive salary and benefits package, including medical, dental, and vision insurance
• 401(k) with employer matching, providing a secure foundation for your future
• Generous PTO policy, allowing you to recharge and pursue your passions
• Flexible working hours and hybrid work options, providing a healthy work-life balance
• Opportunities for professional growth and development, including training and conference attendance
• Collaborative and dynamic work environment, with a team of experienced professionals who are passionate about shaping the future of e-health

• Be prepared to provide specific examples of your experience working with provider enrollment and credentialing processes, highlighting your analytical and problem-solving skills.
• Develop a strong understanding of the latest developments in digital healthcare, including the role of data management and electronic health records.
• Utilize your knowledge of Excel to analyze complex data sets and develop creative solutions, demonstrating your ability to work with large datasets.
• Showcase your excellent customer service skills, highlighting your ability to communicate clearly and effectively with both internal and external stakeholders.
• Be prepared to discuss your experience working in a fast-paced environment, highlighting your ability to multitask, prioritize, and manage your time effectively.
• Consider obtaining certification in provider enrollment or a related field, such as CPC or CPMA, to demonstrate your expertise and commitment to the field.
• Research the company culture and values, preparing thoughtful questions to ask during the interview process.