Provider Enrollment Account Manager

About the role

The Provider Enrollment Manager is responsible for providing supervision and structure for the department's daily operations and functions. The Manager works to ensure department productivity and quality standards are met or exceeded by coordinating staffing and developing efficient workflows. The Manager guides the staff in their day-to-day responsibilities, including mentoring and training the staff as needed. Proficient in facilitation and interpersonal communication, the Manager also consistently demonstrates skills in organization, prioritization, professionalism and coaching others.

Responsibilities

• Coordinate and communicate continuously with other departments to share information, best practices, systems issues, process solutions, and training needs
• Oversee the Provider Enrollment process including document processing, application/notification submission with Commercial and Government payors, and credentialing activities, in coordination with Managed Care, Credentialing Processing Centers (CPCs) and Provider Enrollment Account Managers
• Attend acquisition, initial, and recurring enrollment status calls with practices as needed to ensure seamless transition and implementation
• Coordinate with Provider Enrollment Account Manager and Managed Care on payor issues identified and collaboratively works with the payor until resolution
• Communicate credentialing and enrollment updates to enrollment contacts and senior leadership as needed
• Respond to provider enrollment customer service inquiries

Qualifications

• 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.

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note: Eligibility for benefits may vary by location.

Compensation

This position is incentive eligible.

About the company

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. Parallon also provides full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices. HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." — Dr. Thomas Frist, Sr., HCA Healthcare Co-Founder