Assistant Manager, Provider Enrollment

3 weeks ago

Bedford, United States LogixHealth Full time
Job DescriptionJob Description

Are you interested in joining a team that is committed to providing physician inspired knowledge, impeccable services, and unrivaled technology to improve the healthcare system?

LogixHealth, located in Bedford, MA, provides physician-inspired services and technology that result in smarter healthcare. In order to attain our vision, we need the best and most inspired team members. We're looking for people with a high level of intellectual curiosity and drive who always ask "why" and "how can we do it smarter."

Purpose

Participate in the daily management and monitoring of Representatives on the Provider Enrollment Team.   Manage the workflow associated with new group implementations with the goal of attaining timely payer and provider enrollments.  Educate Representatives on new group workflow to deliver an exceptional client experience and an efficient and accurate outcome.

Duties and Responsibilities

1.   Function as a leader on the Provider Enrollment team by demonstrating a consistently positive “can do” attitude.  Leads by example at all times

2.   Assist in managing the workflow for the Provider Enrollment department

3.   Research insurance provider enrollment requirements by state

4.   Complete daily tasks with minimum guidance

5.   Train new hires and current employees on processes and procedures

6.   Assist in troubleshooting enrollment application issues that arise and determine best possible solutions

7.   Coordinate new client implementation tasks within the Provider Enrollment department

8.   Correspond regularly and professionally with all group contacts

9.   Maintain and update all relevant credentialing reports

10. Communicate provider enrollment status to groups, providers, Client Services and Billing Operations as needed

11. Participate in regularly scheduled meetings

12. Follow the defined processes and policies as ordered by senior management

13. Attend conference calls with clients as needed following defined professional guidelines

14. Uphold company mission, vision and values

15. Adhere to the Logix Code of Conduct and be familiar with all compliance policies and procedures stored in LogixGarden relevant to this position

Qualifications

To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

Education (Degrees, Certificates, Licenses, Etc.)

Bachelor’s degree or equivalent combination of education and experience required.

Computer Skills

Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

Experience

Three to four years supervisory experience preferred.

Specific Job Knowledge, Skill and Ability

1.   Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals

2.   Ability to compute rates, ratios and percentages

3.   Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals

4.   Ability to be flexible and possess a positive attitude while viewing problems as an opportunity for improvement

5.   Ability to assess/evaluate skills for many aspects of Provider Enrollment

6.   Ability to write routine reports and correspondence

7.   Ability to communicate effectively verbally and in writing

8.   Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram

9.   Ability to deal with problems involving several concrete variables in standardized situations

10. Specific vision abilities required by this job include close vision

11. Ability to work in a fast paced environment

12. Ability to participate in special projects while maintaining regular responsibilities

13. Ability to create tables or charts to display provider enrollment data

14.  Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

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