What are the responsibilities and job description for the Provider Enrollment Manager position at OrthoVirginia?
Provider Enrollment Manager – Join OrthoVirginia!
Are you ready to lead with purpose and passion? OrthoVirginia, Virginia's largest provider of expert orthopedic and therapy care, is seeking a dynamic Manager, Provider Enrollment to join our team!
This position offers the flexibility of remote work, with occasional travel to the office. In addition to a collaborative, team-oriented environment, we provide an outstanding employment package that includes:
- Competitive salaries
- Excellent medical, dental, and vision benefits
- Generous paid time off (PTO)
- 401(k) plan with profit sharing
- Short-term and long-term disability insurance
- Life insurance
- Company-wide wellness program
Key Responsibilities
As Manager, Provider Enrollment, you'll play a vital role in achieving departmental and practice goals, including:
- Leading the Credentialing and Provider Enrollment team to accomplish objectives effectively
- Overseeing and ensuring the completion of insurance enrollment applications for healthcare providers.
- Managing credentialing, re-credentialing, and privileging processes with hospital systems.
- Addressing credentialing queries from staff and providers regarding participation, credentials, and documentation.
- Training and developing team members on provider enrollment and credentialing best practices, and fostering growth through individual development plans.
- Collaborating with revenue cycle management to resolve billing issues linked to credentialing.
- Managing relationships with credentialing and provider enrollment vendors.
- Optimizing credentialing software and implementing new solutions when necessary.
- Evaluating workflows, streamlining processes, and enhancing quality across the team.
- Building strong relationships with providers and practice managers to ensure clear and timely communication.
- Supporting onboarding efforts during mergers and acquisitions
- Developing data metrics and KPIs to assess the effectiveness of the team’s efforts
- Managing departmental budget and contributing to broader organizational goals.
- Tackling other exciting challenges as assigned.
Skills & Qualifications:
- Strong oral and written communication skills.
- Exceptional organizational and time management abilities.
- Adept at independent decision-making and problem-solving.
- Proficient in engaging with all organizational levels
- High proficiency in Microsoft Office Suite
- Flexible, resourceful, and a proactive troubleshooter.
- Detail-oriented with excellent follow-through, managing multiple tasks simultaneously, and setting priorities effectively
Requirements:
- Bachelor’s degree in business, healthcare administration, accounting, or related field (alternatively, 4 years' experience may be accepted alongside required experience).
- 3 years of leadership experience.
- 7 years of combined credentialing and insurance enrollment experience, preferably within a large practice of 300 providers.
- Employment contingent on successful completion of background, drug, and TB Screen
OrthoVirginia participates in E-Verify, ensuring compliance with employment eligibility verification
