About this opportunity
Ventra Health, Inc. lists this Director, Provider Enrollment opportunity in northern, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.
Job description
About Us
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 the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
Come Join Our Team!
As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards
Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!
Job Summary
Under administrative direction, the Director of Provider Enrollment is responsible for the strategic leadership and operational oversight of the Provider Enrollment function, including team performance, day-to-day enrollment activities, and the effective delivery of provider enrollment services.
Essential Functions and Tasks
Directs, leads, and manages the Provider Enrollment department’s day to day operations, recruits, selects, orients, trains, coaches, counsels, and disciplines staff
Develops relationships with the Provider Enrollment teams and documents needs and organizational priorities
Ensures success of the provider enrollment lifecycle by monitoring client level metrics as well as ensuring timeliness and accuracy of team’s enrollment activities related to new enrollment, reenrollment, enrollment denials and client level special projects
Develops relationships with clients and provides regular status updates on credentialing related deliverables
Makes recommendations on work-flow processes throughout the enrollment cycle to assist in achieving consistency and success
Develops and makes recommendations on policies, guidelines, and implements procedures to ensure consistent department-wide implementation and adherence
Holds monthly (or as warranted) meetings with all levels of management to review held claims, status of client provider enrollment, overall provider enrollment inventory, etc.
Monitors timeliness and effectiveness of department activities, implements processes to identify gaps
Compiles and prepares a variety of reports for management in order to analyze trends and make recommendations
Performs special projects and other duties as assigned
Education and Experience Requirements
High School diploma or equivalent
Bachelor’s Degree in Healthcare Administration, Business Administration, Benefits, or equivalent training and/or experience preferred
At least five (5) years of physician billing, hospital billing, or vendor management experience in provider enrollment functions
At least two (2) years of supervisory/management/leadership experience preferred
Experience with CAQH database, NPI website and maintaining EDI, EFT, and ERA processes preferred
Knowledge, Skills, and Abilities
Knowledge of provider enrollment requirements for physician billing and multi-state experience preferred
Knowledge of business and financial processes, procedures, and processes
Knowledge of medical terminology and anatomy
Knowledge of requirements of medical record documentation
Strong supervisory/management skills
Strong leadership development and team building skills
Strong management level oral, written, and interpersonal communication skills
Strong financial reporting skills
Strong healthcare data analysis skills
Strong presentation development and delivery skills
Strong word processing, spreadsheet, database, and presentation software skills
Strong decision-making skills
Strong problem-solving skills
Strong organizational skills
Strong time management skills
Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages, areas, and volumes; and working with decimals
Ability to effectively present information, including financial reporting and healthcare analytics, and respond to questions from groups of executives, managers, clients, and customers
Ability to adapt communication style to suit different audiences
Ability to communicate with business stakeholders and IT staff in a tactful, mature, and professional manner
Ability to know how and when to involve key players and effectively use internal employer resources to provide the best solution
Ability to initiate and maintain professional relationships.
Ability to see reoccurring issues and fixing them or identify and solve front end issues Ability to communicate with diverse personalities in a tactful, mature, and professional manner
Compensation
Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
This position is also eligible for a discretionary incentive bonus in accordance with company policies.
Ventra Health
Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.Recruitment Agencies Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.Solicitation of Payment Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Statement of Accessibility Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at
#J-18808-Ljbffr
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.