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Provider Enrollment Account Manager Virtual in Brentwood at Parallon

Date Posted: 5/16/2019

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

Provider Enrollment Account Manager

Job Summary – The Provider Enrollment Account Manager is responsible for providing supervision and oversight of the enrollment process. The Account Manager works closely with department managers and staff in their day-to-day responsibilities and enrollment contacts to ensure timely notifications of new providers and provider changes. The Account Manager also serves as a liaison between the practice, managed care, payor, and provider enrollment department to ensure timely notification of new providers, provider changes, prompt processing of applications, and oversight of the enrollment process including escalations. Proficient in facilitation and interpersonal communication, the Account Manager also consistently demonstrates skills in organization, prioritization, professionalism and coaching others.

Supervisor – Provider Enrollment Senior Account Manager

Supervises – none

Duties (included but not limited to)
•Oversee the Provider Enrollment process including application/notification submission with Commercial and Government payors and credentialing activities, in coordination with department staff, Managed Care, Credentialing Processing Centers (CPCs)
•Attend acquisition, initial, and recurring enrollment status calls with practices as needed to ensure seamless transition and implementation
•Establish and facilitate meetings with Leadership for assigned Division enrollment review
•Communicate enrollment updates to enrollment contacts and senior leadership
•Respond to provider enrollment customer service inquiries
•Coordinate and communicate continuously with other departments to share information, best practices, systems issues, process solutions, and training needs
•Establishes and maintains effective payor relationships
•Collaboratively works with managed care and the payor until enrollment resolution is reached
•Prepare and analyze department operating reports
•Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly stated
•Identify and communicate to management educational opportunities
•Collaborate with other departments to resolve enrollment or claim issues
•Work to resolve time-sensitive and customer essential issues that arise on a day to day basis coordinating internal and external resources as necessary.
•Acts as a liaison between assigned division/markets and Physician Service Center
•Establish good working relationships with Market/Practice leadership
•Complete special projects as assigned by management
•Ensure compliance with company and departmental policies and procedures
•Proactively review and provide data analysis and financial impact assessments
•Review aged enrollments to determine root cause and next steps
•Establish and review internal controls to ensure goals, objectives, standards, and benchmarks for the department are met or exceeded
•Assist in timely month-end closing activities
•Ensure training needs are met
•Conduct enrollment contact, division, and payor meetings
•Maintain working knowledge of workflow, systems, and tools used in the department
•Promote continuous improvement and best practice in processes and performance for improving department functions
•Lead in the creation and maintenance of a positive working environment
•Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
•Other duties as assigned

Knowledge, Skills, and Abilities
•Organization - proactively prioritizes needs and effectively manages resources
•Communication - communicates clearly and concisely, verbally and in writing, including utilizing proper punctuation and correct spelling; able to communicate with staff, Parallon Management, and Division and Group Executives.
•Service a Service Reputation – supports and implements service practices that meet customer and organization needs; using appropriate interpersonal styles and techniques to resolve difficult customer situations and regain customer confidence.
•Positive Disposition – demonstrates a positive attitude in the face of difficult or challenging situations; providing an uplifiting (albeit realistic) outlook on what the future holds and the opportunities it might present.
•Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
•Interpersonal skills - able to work effectively with other employees, patients, and external parties
•PC skills - demonstrates proficiency in Microsoft Office applications and others as required
•Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
•Tactical execution - oversees the development, deployment, and direction of complex programs and processes
•Project Management - assesses work activities and allocates resources appropriately
•Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, and systems
•Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes; able to work quickly and accurately in a fast-paced environment while managing multiple demands; able to work both independently and collaboratively as a team player; demonstrates adaptability, analytical and problem solving skills, and attention to detail; and able to perform basic mathematical calculations, balance and reconcile figures, and transcribe accurately

Bachelor’s Degree in Business or related field required. Equivalent work experience may substitute education requirements.

Minimum three years’ experience in related area preferred with two of these years being healthcare management experience or completion of the Parallon Manager Trainee Program. Knowledge of provider enrollment and credentialing process preferred. Experience in the management of projects. Strong customer focus and results driven. Shows strong initiative, innovation and motivation Has strong interpersonal and communication skills


Physical Demands / Working Conditions– Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.