Provider Enrollment Supervisor

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Remove boilerplate (EEO, etc). Keep substantive info. We need to parse the posting. Key parts: - SHIFT: Day (United States of America) – shift info maybe schedule? It says SHIFT: Day. That's schedule info. So we can include Schedule section with "Day shift (United States of America)". Probably we can include that. - "Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives..." That's about the organization, maybe About the role? Actually "A Brief Overview" then description. Could be About the role. - Responsibilities: "What You Will Do" with subsections: Team Leadership & Oversight, Operational Excellence, Issue Resolution & Escalation, Reporting & Metrics, Collaboration. Those are responsibilities. - Requirements/Education Qualifications: Education Qualifications: High School Diploma / GED - Required; Bachelor's Degree - Preferred. Experience Qualifications: At least three (3) years Provider enrollment, credentialing, or related healthcare operations - Required; At least one (1) year supervisory or lead experience - Preferred. - Skills And Abilities: list of required proficiencies and preferred. - Benefits: Not explicitly listed. There's mention of incentive program, compensation and benefits link, but no explicit benefits. So we should not create Benefits section unless posting actually states them. It mentions "This job is eligible for an incentive program." That's a benefit? Could be considered benefit but it's vague. The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state incentive program, but not explicit benefits like health insurance, retirement. Might be okay to include a Benefits section with "Eligible for incentive program". However they said prefer few substantive sections over many thin ones. Might be better to omit Benefits if not detailed. - Pay: Salary range: $69,200.00 - $88,200.00 Annually. Also mention incentive program. So we can include Pay section. - Schedule: SHIFT: Day (United States of America). So schedule section. - About the role: The introductory paragraphs about CHOP and brief overview. Could be About the role. We must not include Job ID/requisition numbers (none). Remove EEO etc. We need to use

for section headings. Use

• for any list of duties/requirements/benefits, and

  for prose. We need to preserve all substantive information, not invent or summarize away detail. We need to output only HTML fragment. Let's structure:

  About the role

  ... (prose)

  Responsibilities

  • Team Leadership & Oversight: ... (maybe break into subpoints? The instruction: use
    • for any list of duties/requirements/benefits. So we can list each duty as
    • . Could combine subpoints inside
    • as prose. We need to capture all details from "What You Will Do" sections. Let's extract: Team Leadership & Oversight: - Lead and support a team of enrollment coordinators/specialists, including daily work assignments, workflow management, and issue resolution. - Monitor individual and team performance, providing coaching and support to ensure service level agreements (SLAs) and quality standards are met. - The Enrollment Supervisor is the first line of contact for internal support for questions regarding processes, policies and software use. - Conduct regular team huddles, one-on-ones, and provide input on performance reviews to the enrollment manager. - Support departmental hiring, onboarding, and training initiatives. - Manage staff workload distribution Operational Excellence: - Oversee all aspects of enrollment processing from accuracy to timeliness and capacity including but not limited to: * Initial and re-enrollment applications * Revalidations * CAQH attestations * PECOS submissions * Delegated roster submissions * Demographic updates and maintenance - Ensure expert knowledge of payer enrollment requirements. - Ensure compliance with internal policies, payer requirements, and regulatory standards (e.g., CMS, NCQA, URAC). - Support audit preparation and response (internal and external), including delegated audits. - Identify and implement workflow standardization and process optimization. - Develop and maintain SOPs for enrollment processes. - Serve as SME on best practices and regulatory changes. - Oversee all aspects of enrollment processing (applications, revalidations, CAQH, PECOS, roster submissions, demographic updates). - Ensure compliance with policies, payer requirements, and regulatory standards; support audits. Issue Resolution & Escalation: - Serve as the point of escalation for complex enrollment issues, payer rejections, or application delays. - Partner with managers, operational leaders from other departments such as Revenue Cycle, and payers to troubleshoot and resolve barriers. - Serve as escalation point for complex enrollment issues and delays. - Partner with other departments and payers to resolve barriers. Reporting & Metrics: - Track and review key metrics, capacity and all turnaround times (TATs), and act appropriately on the data. - Establish, monitor, and report on KPIs (application submissions, turnaround times, denial rates, revenue impact). - Identify process bottlenecks and opportunities for improvement; collaborate with leadership to streamline workflows and enhance automation. Collaboration: - Work closely with credentialing, provider relations, contracting, and IT/technology teams to ensure provider onboarding and enrollment completeness. - Communicate with payers, practitioners, and other partners as needed. - Assist Manager in departmental planning and goal setting. We could combine duplicate lines. Now Education Qualifications and Experience Qualifications could be under Requirements or Qualifications. The instruction: Use headings like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have Education Qualifications and Experience Qualifications; we could put them under Requirements or Qualifications. Probably "Requirements" for mandatory, "Qualifications" for preferred? But we can just have a "Requirements" section covering both required and preferred? Might be better to have "Requirements" for required items and "Qualifications" for preferred? However the instruction says use headings exactly as given: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to map content accordingly. We have: - About the role: intro. - Responsibilities: as above. - Requirements: likely the required education and experience (High School Diploma/GED required; Bachelor's preferred? Actually Bachelor's is preferred, not required. So required: High School Diploma/GED; at least 3 years provider enrollment, credentialing, or related healthcare operations; maybe also required proficiency in certain skills? Those are under Skills And Abilities (required proficiency). So we could put required skills under Requirements? But there is a separate Skills heading. So maybe Requirements for education/experience, Qualifications for preferred education/experience, Skills for skills. Thus:

      Requirements

      • High School Diploma / GED - Required
      • At least three (3) years Provider enrollment, credentialing, or related healthcare operations - Required

      Qualifications

      • Bachelor's Degree - Preferred
      • At least one (1) year supervisory or lead experience - Preferred

      Skills

      • Strong knowledge of CMS, PECOS, CAQH, payer enrollment guidelines (Required proficiency)
      • Strong knowledge of delegated vs direct contract structures (Required proficiency)
      • Ability to lead and mentor a team in a high-volume, fast-paced environment (Required proficiency)
      • Excellent communication, problem-solving, and analytical skills (Required proficiency)
      • Strong organizational skills and attention to detail (Required proficiency)
      • Proficiency in Microsoft Office Suite (Excel, Word, Outlook) (Required proficiency)
      • Enrollment management software (CredentialStream, Echo, Symplr, MD-Staff) (Preferred proficiency)
      Pay: Salary range $69,200.00 - $88,200.00 Annually; eligible for incentive program. Schedule: SHIFT: Day (United States of America). We should not include Benefits section as no explicit benefits. Now we need to preserve all substantive information: also mention "This job is eligible for an incentive program." and "At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting." That's pay-related info, we can include in Pay section. Also mention "Learn more." about influenza vaccine? That's a condition of employment: "As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine." That's substantive info about requirement. Should we include? It's a condition of employment, maybe under Requirements? It's not education/experience but a requirement. Could add to Requirements as a bullet: "Annual influenza vaccine required for employees in patient care buildings or patient-facing responsibilities." However the posting says "As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine." Since the role may be patient-facing? Not sure but it's a condition. We'll include it. Also mention "To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community." That's fluff but substantive? Might be considered boilerplate? It's about mission; could be part of About the role. We need to remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. We have removed EEO lines. Now we need to ensure we don't repeat content unnecessarily. Let's craft About the role paragraph: combine the introductory sentences. Original: "SHIFT: Day (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview The Provider Enrollment Supervisor serves as an operational leader and subject matter expert in revenue cycle management and accounts receivable operations. Key responsibilities of the role include building an outstanding team culture through consistent engagement; fostering professional development of all direct and indirect reports, especially the next generation of CHOP leaders; identifying, deploying, and maintaining best practices in revenue cycle operations; understanding and monitoring Key Performance Indicators (KPIs), and taking quick and appropriate action to maintain the financial health of CHOPPA. This position collaborates with stakeholders at all levels, mentors team members, and ensures alignment with organizational financial goals. The Enrollment Supervisor oversees a team of enrollment specialists responsible for enrolling and maintaining healthcare providers with payers and regulatory bodies. This role ensures timely, accurate, and compliant submission and follow-up of applications, roster updates, and demographic changes across both delegated and non-delegated payer agreements. The Supervisor provides day-to-day operational leadership, helps resolve escalated issues, ensures quality and productivity standards are met, and