Provider Enrollment Manager Jobs in Arkansas

Effective stakeholder management, cross-functional collaboration across time zones

5-7 years of marketing experience

3-4 years of experience leading campaigns for large health plan clients

Self-starter with strong written and oral communication skills

Some knowledge with Asana, Salesforce, and Domo a plus

Comfort and flexibility with the ambiguity inherent in a fast-paced startup environment

Resolution of Salesforce cases and management of issues and the team resolving the cases is a key element in this role.

Must be able to function independently, possess demonstrated flexibility in multiple project management

The Enrollment Specialist will manage all payer data in CredentialStream for both the group and the individual providers.

2+ years’ experience in payer enrollment function

Verity or other credentialing experience preferred

Demonstrated skills in problem solving and analysis and resolution

May assist in the work of less experienced clerks.

Basic knowledge of the administrative methods, and an acumen to develop the required administrative skills of the job.

High School Diploma and a minimum of 1 to 2 years of experience.

Specific level of software skills as required by the work unit.

Previous Medicare Part B Provider Enrollment experience

Detail-oriented and have excellent verbal and written communications skills.

5+ years of management experience

Demonstrated organizational and management skills to manage complex situations through planning, tracking, and resource allocation to meet business objectives and timelines

4+ years of payer enrollment experience, including group and individual applications with Medicare, Medicaid, commercial and managed care health plans

Payor contracting and/or revenue cycle experience

Develop (and maintain) a deep understanding of PE team processes, workflows, and tooling and translate that understanding into workflow improvements.

Support measuring and planning for the team’s performance, capacity, and growth targets.

2+ years of management experience

Demonstrated organizational and management skills to manage complex situations through planning, tracking, and resource allocation to meet business objectives and timelines

4+ years of payer enrollment experience, including group and individual applications with Medicare, Medicaid, commercial and managed care health plans

Lead and develop a team of Payer Enrollment Leads. Help your direct reports grow their skills via mentorship, 1:1s, and reviews.

Payor contracting and/or revenue cycle experience

Develop (and maintain) a deep understanding of PE team processes, workflows, and tooling and translate that understanding into workflow improvements.

Verify potential and existing providers licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification.

Monitors and reports provider complaints and utilization management reports

Assist management in the implementation of department process improvements.

Assist with the ongoing NCQA certification activities.

Associate degree or equivalent experience required.

Excellent oral and written communication skills.

Resolution of Salesforce cases and management of issues and the team resolving the cases is a key element in this role.

Must be able to function independently, possess demonstrated flexibility in multiple project management

The Enrollment Specialist will manage all payer data in CredentialStream for both the group and the individual providers.

2+ years’ experience in payer enrollment function

Verity or other credentialing software experience preferred

Demonstrated skills in problem solving and analysis and resolution

• 2+ years of demonstrated management experience leading higher education enrollment teams.

REQUIRED KNOWLEDGE, SKILLS & ABILITIES

Perform personnel functions such as selection, training, evaluation, goal setting, performance management, corrective action, coaching, and mentoring.

Ensure service delivery by demonstrating effective time management and resource allocation including staff coverage.

• 4+ years’ experience within higher education enrollment.

O Consistent and compliant processes and procedures producing quality experience for students

Deep understanding of higher education admissions and enrollment management

3+ years of experience working in higher education

You’ll begin to use your experience and insights to help shape our products

You will have a deep knowledge of our product, company, and go-to-market strategies

Educational background in a communications, business, or quantitative field

Experience in a Customer Success role

Work with the Revenue Cycle Management team on any Credentialing related claim denials.

You’re a behavioral health credentialing expert. You’ve communicated with payors directly in the past, and you meet the following requirements:

Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):

Flexible working hours and location (remote OR in-office, your choice!)

In-office lunch and biweekly remote lunch on us!

Monitor the follow up process applications, and communicate with the payors directly to ensure that applications are staying on-track.

2 years of experience in business environment.

Excellent verbal and written communication skills.

Proficiency in the use of Cactus credentialing software preferred.

High School diploma or equivalent

Proficient in the use of Excel.

Proficient in general computer software (Word, Outlook, PowerPoint).

Support and comply with the company’s Quality Management System policies and procedures.

Develops the customer service and professional skills of team members to increase their value-add to the team and organization.

Manages and resolves customer complaints, identifies, and escalate priority issues while working collaboratively on the corrective action

Identifies and shares best practices and drives for continuous improvement of the customer experience.

Supervise staff including but not limited to organize and prioritize work, write/conduct performance reviews, train/develop, and manage work performance.

Excellent verbal and written English communication skills.