Provider Enrollment Associate-Lead
Core
Leads a team of Provider Enrollment Associates to manage the credentialing and enrollment of healthcare providers into insurance payor networks.
Role type
Lead Provider Enrollment Associate
Builds
Provider enrollment and credentialing workflows for healthcare providers
Domain
Healthcare administration / Insurance credentialing
Deliverable
client delivery
Required skills
Team leadership, workflow management, application review, payor enrollment software proficiency, regulatory compliance, data verification, reporting
Preferred skills
Healthcare setting experience, Apogee software training
Technologies
Apogee software
Responsibilities
Plan, organize, assign, and supervise the day-to-day operations of the provider enrollment team; orient, train, coach, and evaluate team members; schedule and maintain adequate staffing coverage; develop new electronic processes to increase team efficiency; monitor Apogee software setup and implement changes to improve process efficiency; provide knowledge and guidance to ensure tasks are completed timely and accurately while meeting regulatory standards; review and validate professional qualifications of providers; collect and submit applications and supporting documentation to contracted insurance payors; prepare and maintain reports and summaries of enrollment activities; act as main point of contact for Claims Clearhouse vendor; monitor communications with administration, practice managers, provider recruitment, and the hospital credentialing department; monitor team workload.