Manager, Provider Enrollment

About This Role

Managing the Provider Enrollment Department is the core responsibility of this role. It involves overseeing operations, developing client relationships, and ensuring the department's effectiveness and consistency.

Responsibilities

• Manage Provider Enrollment Department operations; recruit, select, orient, train, coach, counsel, and discipline staff
• Plan, monitor, appraise, and review staff job contributions
• Implement cross-functional training and succession planning as allowable
• Develop relationships with clients and provide regular status updates on the credentialing process
• Coordinate with client leadership and credentialing staff as necessary to obtain documents and additional information to complete the enrollment process
• Hold monthly (or as warranted) meetings with all levels of management to review held claims and address concerns
• Report major issues to MGA leadership and make them aware of potential threats/opportunities
• Develop policies, guidelines, and implement procedures, ensuring consistent department-wide implementation
• Enhance and standardize workflow processes throughout the enrollment cycle to assist in achieving consistency and success
• Monitor timeliness and effectiveness of department activities
• Compile and prepare a variety of reports for management to analyze trends and make recommendations
• Conduct regular meetings with the team and provide suggestions for improvement and decision support
• Protect and safeguard company and patient information and report suspicious activity to management
• Perform special projects and other duties as assigned

Requirements

• High School diploma or equivalent
• At least two (2) years of physician billing, hospital billing, or vendor management experience in provider enrollment functions

Nice to have:

• Bachelor

Benefits

• Ventra performance-based incentive plan (eligible as part of our Rewards & Recognition program)
• Referral bonus (earn by referring a friend who joins the team)

About the Company

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.