Supervisor-Payer Enrollment
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Job Location:
Memphis, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Supervisor Payer Enrollment
Job Summary:
A Payer Enrollment Supervisor is responsible for overseeing the day-to-day operations of a team of payer enrollment specialists. This role ensures that the team is meeting its goals and KPIs for processing provider enrollments and re-enrollments with insurance payers. The Supervisor manages workflows provides guidance and support to the team and addresses any issues that arise during the enrollment process. While the Supervisor plays an active role in the enrollment process they also focus on team management training and ensuring that procedures are being followed accurately and efficiently.
Key Responsibilities:
Supervise and manage the daily activities of a team of payer enrollment specialists ensuring efficient workflow and timely processing of provider enrollment applications.
Conduct regular team meetings to review enrollment goals challenges and improvements.
Ensure that the team is up to date with payer policies procedures and regulatory requirements.
Analyze and optimize payer enrollment workflows identifying bottlenecks or areas for improvement to improve efficiency and compliance. Coordinate with other departments to streamline workflows and ensure proper data flow for accurate payer enrollment processing.
Provide coaching training and ongoing support to staff addressing questions and resolving issues as they arise.
Assist in the development of training materials and guide staff on payer enrollment processes best practices and troubleshooting techniques.
Assist in resolving complex or escalated enrollment issues collaborating with internal departments (e.g. credentialing billing) or payer representatives as needed.
Monitor team performance to ensure adherence to established performance metrics and KPIs addressing any areas of underperformance.
Provide regular reports to upper management on team performance progress towards goals and any outstanding issues.
Experience
35 years of experience in payer enrollment credentialing or a related healthcare administrative role with at least 12 years in a supervisory or team lead capacity.
Direct experience with payer enrollment processes including provider data entry application submission and payer-specific requirements.
Experience handling a variety of payer contracts and understanding of credentialing and revalidation processes.
Previous work in managing provider enrollment for multiple insurance carriers.
Experience with payer systems (e.g. CAQH PECOS payer portals) and healthcare management software (e.g. MD-Staff Epic).
Education
Minimum Education:
oAssociates degree in Healthcare Administration Business Administration Health Information Management or a related field or equivalent years of experience.
Preferred Education:
oBachelors degree in Healthcare Administration Business Administration or a similar discipline.
Certifications (Optional):
oCertified Payer Enrollment Specialist (CPES) when eligible
Required Experience:
Manager
Key Skills
- Restaurant Experience
- Customer Service
- Hospitality Experience
- Management Experience
- Mediation Experience
- Guest Services
- Merchandising
- Experience with Children
- Leadership Experience
- Mentoring
- Supervising Experience
- Neonatal Ventilator
About Company
Baptist Memorial Hospitals provide compassionate, close-to-home care for patients in the Mid-South. Learn about our medical clinics and health care services.
