Supervisor, Provider Enrollment

Essential Functions and Tasks:

• Supervise, train, and support provider enrollment staff in licensing and credentialing.
• Complete employee relation duties such as coaching, mentoring, and corrective action.
• Review employee timecards, assist with performance reviews, and manage schedules.

Operational Management:

• Monitor held claims and send Medicaid Revalidation reminders for all providers.
• Work with AR and Clean Claims teams to research enrollment-related denials and rejections.
• Conduct client calls for status updates and ensure timely resolution of provider enrollment items.

Compliance and Projects:

• Apply expert knowledge of state and federal healthcare regulations governing provider enrollment.
• Develop and maintain performance measures, prepare status reports, and perform special projects.
• Draft processes and procedures consistent with regulations and specific payer requirements.