Provider Enrollment Supervisor

JOB OVERVIEW

This position’s primary responsibility is to provide guidance and oversight for the National Provider Enrollment (NPE) Out-of-State Medicaid Team. This position will help plan and organize all provider enrollment OOSM activites within the working scope of this role. The supervisor will ensure compliance with TeamHealth provider enrollment policies and procedures, along with client, payer, state and federal regulatory requirements. Additionally, this position will facilitate gathering and analyzing data to align resources to promote optimization of departmental efficiencies and productivity. The supervisor will also collaborate closely with other departments such as the billing center and regional provider enrollment teams.

PRIMARY FUNCTIONS

• Provide day-to-day operational guidance to and oversight for the Provider Enrollment OOSM team, to include both group enrollments and individual provider enrollments. Supervise the day-to-day operations of the OOSM team, including planning, organizing, and coordinating all team activity.

• Provides regular feedback to team members to receive clear, constructive, and timely guidance that enhances their performance, promotes compliance with regulatory standards, and supports the overall efficiency and productivity of the Out-of-State Medicaid (OOSM) enrollment processes.

• Responsible for revenue cycle performance through generating and reviewing various enrollment tracking reports and dashboards in order to perform analysis and provide routine summary updates on the enrollment process, to include information related to Provider Hold, aging, write-off’s, ETM PIT report and other key performance indicators, as needed.

• Monitor resource allocations to ensure balanced workloads and identify additional capacity, modifying as needed, to support growing business needs and/or to ensure equitable assignments amongst team members.

• Collaborate with operational business partners, such as NPE, regional provider enrollment teams, and billing centers, serving as Subject Matter Experts for the OOSM process and enrollment requirements to efficiently enroll and resolve billing issues.

• Coordinate operational projects and support activities as assigned by the Vice President, based on operational needs, regulatory changes, and/or mergers and acquisitions, as appropriate and resources allow.
  
  
• Serves as the primary point of contact for provider and payer escalations and issues.
  
  
• Follow TeamHealth policies, procedures, and protocols in order to ensure accuracy, completeness, efficiency, and data integrity of provider enrollment processes.

• Manage employee timekeeping, leave requests, payroll submission and performance evaluations.
  
  
• Perform other duties as assigned.

Job Requirements: