LogixHealth Manager, Provider Enrollment in Bedford, Massachusetts
Supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. Supervise and train the Representatives and Coordinators as well as off-site workers.
Duties and Responsibilities
Oversee all employees in the provider enrollment department
Research and resolve any issues that arise
Monitor training of new hires and current employees on processes and procedures
Resolve any department issues with department Associate Director
Maintain and update credentialing reports
Communicate provider enrollment status to providers, Client Services and Billing Operations as needed
Attend regularly scheduled meetings
Ensure cooperative team environment by Effectively communicating with staff about department and company initiatives Adjusting procedures as necessary to create process efficiencies Resolving issues among staff Encouraging constructive feedback from staff and between team members
Manage recruitment process including Identifying needs Posting internally Screening and interviewing candidates
Comply with all State and Federal Laws regarding an effective Compliance Program inclusive of HIPAA Privacy and Security Adhere to the Code of Conduct and be familiar with all compliance policies and procedures stored in LogixGarden relevant to this position Ensure departmental employees follow the Code of Conduct, compliance policies and procedures Administer the appropriate sanction when an employee violates a compliance policy or procedure
Review and approve time and attendance records according to company standards
Provide on-going feedback and annual performance reviews
Uphold company mission, vision and values
Proactively monitor company policies and address transgressions appropriately
Facilitate meetings within department and make presentations to senior management as needed
Monitor and enforce compliance with all pertinent local, state, and federal laws and regulations relating to operations and employment
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
Bachelor?s degree or equivalent combination of education and experience required.
Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
2 - 4 years of related experience in a healthcare setting preferred.
Specific Job Knowledge, Skill and Ability
Ability to handle client and provider information discreetly and confidentially
Ability to organize information with a strong attention to detail
Ability to build and maintain strong client/provider relationships
Ability to comprehend and communicate contract information
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
Ability to write routine reports and correspondence
Ability to communicate effectively verbally and in writing
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
Ability to deal with problems involving several concrete variables in standardized situations
Specific vision abilities required by this job include close vision
Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms