Provider Enrollment Manager
2 days ago
The Provider Enrollment Manager is responsible for overseeing the daily operations of UH Corporate Provider Enrollment functions. This role provides leadership and support for the Provider Enrollment Team, managing all aspects of employee engagement and performance, and audits the team's quality of work to ensure proper accountability, assignments, and completion of work tasks timely in accordance with established goals and metrics.
Key Responsibilities
- Oversee and manage all aspects of the provider enrollment process.
- Monitor provider holds by prioritizing a focus on clients with large dollars impacted and resolve these issues.
- Effectively work with vendors to identify any issues that might have an impact on revenue flow and communicate this to revenue cycle, managed care, and senior leadership of PE in a prompt and timely manner.
- Under the direction of the Director of Medical Staff Services, Credentialing, & Provider Enrollment, draft new policies, train and retrain employees/vendors, rectify errors, and monitor ongoing compliance with policies.
- Maintain audit results and report these to the manager of the department.
- Continuously work with revenue cycle, managed care, physician services, UHMP, UHMG, UHRP, and UHUC provider offices, practices, group administrators, and medical staff services members while acting as the nucleus for systematic success.
- Ensure quality accounts receivable results by achieving or exceeding customary key performance indicators, such as claims held/released for the department.
- Manage provider enrollment team resources and workflow to reach maximum efficiency and productivity levels, as well as provide solutions on how to improve in this area.
- Review and identify insurance carrier trends related to each team member's assigned specialties and resolve any related revenue and enrollment issues.
- Report all identified enrollment, carrier, and revenue-impacted trends and issues to the Director and Manager of Medical Staff Services, Credentialing, & Provider Enrollment.
- Work with other departments (i.e., CBO, managed care, IT) to minimize and/or resolve ongoing procedural problems affecting continuity of patient care, provider services rendered, and quality standards.
- Promptly inform the Director of Medical Staff Services, Credentialing, & Provider Enrollment of any matters that may cause a disruption to revenue or the continuity of patient care.
- Bachelor's Degree (Required) and Master's Degree (Preferred)
- 5+ years related experience (Required) and 3+ years management experience in which problem-solving and research were major keys to success (Required) and 2+ years experience in personnel management (Required)
- Enhanced knowledge of provider enrollment processes and requirements for commercial insurance companies, CMS Federal and State Guidelines related to enrollment and reenrollment policies (Preferred proficiency)
- Knowledge of accounts receivable and revenue cycle management (Preferred proficiency)
- Familiar with group and provider documents, i.e., medical licenses, medical school practices, board certifications, etc. (Required proficiency)
- Project management (Required proficiency)
- Advanced presentation skills (Required proficiency)
- Conflict resolution skills (Required proficiency)
- Experience and knowledge with payor issues that result in resolutions (Required proficiency)
- 10%
-
Enrollment Manager
2 weeks ago
Cleveland, Ohio, United States Delta State University Full timeJob Title: Enrollment ManagerDelta State University is seeking a highly motivated and organized Enrollment Manager to join our team. As a key member of our recruitment team, you will be responsible for developing and implementing a comprehensive recruitment plan to attract and retain top talent for our College of Nursing, Health, and Sciences.Key...
-
Enrollment Manager
2 weeks ago
Cleveland, Ohio, United States Delta State University Full timeJob Title: Enrollment ManagerDelta State University is seeking a highly skilled Enrollment Manager to join our team. As a key member of our recruitment team, you will be responsible for developing and implementing a comprehensive recruitment plan to attract top talent to our College of Nursing, Health, and Sciences.Responsibilities:Develop and execute a...
-
Enrollment Manager
3 days ago
Cleveland, Ohio, United States Delta State University Full timeJob SummaryDelta State University is seeking a highly motivated and organized Enrollment Manager to join our team. The successful candidate will be responsible for recruiting and marketing the College of Nursing, Health, and Sciences by drafting a recruitment/marketing plan, recruiting at various events, and providing regular contact/communication with...
-
Enrollment Coordinator
4 weeks ago
Cleveland, Ohio, United States Educational Empowerment Group Full timeJob SummaryWe are seeking a highly organized and detail-oriented Enrollment Specialist to join our team at Educational Empowerment Group. The successful candidate will be responsible for managing student enrollment, maintaining accurate records, and providing exceptional customer service to students, parents, and staff.Key ResponsibilitiesStudent Enrollment...
-
Enrollment Coordinator
1 month ago
Cleveland, Ohio, United States Educational Empowerment Group Full timeJob SummaryWe are seeking a highly organized and detail-oriented Enrollment Specialist to join our team at Educational Empowerment Group. The successful candidate will be responsible for managing student enrollment, maintaining accurate records, and providing exceptional customer service to students, parents, and staff.Key ResponsibilitiesStudent Enrollment...
-
Enrollment Coordinator
4 days ago
Cleveland, Ohio, United States Educational Empowerment Group Full timeJob Title: Enrollment SpecialistAt Educational Empowerment Group, we are seeking a highly organized and detail-oriented Enrollment Specialist to join our team. The successful candidate will be responsible for managing student enrollment, attendance, and records, ensuring accurate and timely data entry and reporting.Key Responsibilities:Establish and maintain...
-
Enrollment Coordinator
1 month ago
Cleveland, Ohio, United States Educational Empowerment Group Full time{"title": "Enrollment Specialist", "description": "Key ResponsibilitiesEstablish a strong presence in the community to facilitate outreach and recruitment efforts.Provide expert enrollment counseling to incoming students and families, ensuring a smooth transition to our educational programs.Process new student enrollments, student transfers, student...
-
Student Enrollment Coordinator
2 months ago
Cleveland, Ohio, United States Educational Empowerment Group Full timePosition OverviewThe Enrollment Management Associate plays a crucial role in fostering community engagement and facilitating the enrollment process for prospective students and their families.Key ResponsibilitiesCommunity Outreach: Develop and maintain a presence within the community to enhance recruitment efforts.Enrollment Counseling: Provide guidance and...
-
Student Enrollment Coordinator
2 months ago
Cleveland, Ohio, United States Educational Empowerment Group Full timePosition OverviewThe Enrollment Specialist plays a crucial role in fostering connections within the community to enhance outreach and recruitment efforts. This position involves providing comprehensive enrollment guidance to prospective students and their families.Key ResponsibilitiesCommunity Engagement: Establish a strong presence in the community to...
-
Student Enrollment Coordinator
2 months ago
Cleveland, Ohio, United States Educational Empowerment Group Full timePosition OverviewThe Enrollment Specialist plays a crucial role in fostering connections within the community to enhance recruitment efforts and support prospective students and their families.Key ResponsibilitiesCommunity Engagement: Develop and maintain a strong presence in the community to facilitate outreach and recruitment initiatives.Enrollment...
-
Student Enrollment Coordinator
1 day ago
Cleveland, Ohio, United States Educational Empowerment Group Full timeJob SummaryWe are seeking a highly organized and detail-oriented Student Enrollment Coordinator to join our team at Educational Empowerment Group. The successful candidate will be responsible for managing student enrollment, maintaining accurate records, and providing exceptional customer service to students, parents, and staff.Key ResponsibilitiesProcess...
-
Enrollment Coordinator
5 days ago
Cleveland, Ohio, United States Delta State University Full timeJob SummaryWe are seeking a highly motivated and organized Enrollment Manager to join our team at Delta State University. The successful candidate will be responsible for recruiting and marketing the College of Nursing, Health, and Sciences by developing and implementing a recruitment plan, collaborating with the DSU Office of Admissions, and designing and...
-
Enrollment Specialist
4 weeks ago
Cleveland, Ohio, United States Lakefront CLE Full timeAbout the RoleWe are seeking a highly motivated and results-driven Enrollment Representative to join our team at Lakefront CLE. As a key member of our customer acquisition team, you will play a critical role in helping us execute our marketing strategies and drive business growth.As an Enrollment Representative, you will be responsible for building...
-
Enrollment Specialist
3 weeks ago
Cleveland, Ohio, United States Lakefront CLE Full timeAbout the RoleWe are seeking a highly motivated and results-driven Enrollment Representative to join our team at Lakefront CLE. As a key member of our customer acquisition team, you will play a critical role in helping us execute our marketing strategies and drive business growth.As an Enrollment Representative, you will be responsible for building...
-
Associate Director, Enrollment Center
4 weeks ago
Cleveland, Ohio, United States Tri C Company Inc Full timeJob SummaryWe are seeking a highly skilled and experienced Associate Director, Enrollment Center to join our team at Tri C Company Inc. The successful candidate will be responsible for the daily management of assigned staff and operations of the Enrollment Center, with a strong focus on student-centered services in a continuous quality improvement mode.Key...
-
Enrollment Representative
2 days ago
Cleveland, Ohio, United States Lake CLE Full timeJob OverviewLake CLE is seeking a highly motivated Enrollment Representative to join our team. As a key member of our customer acquisition team, you will play a vital role in helping us execute our marketing strategies and drive business growth.As an Enrollment Representative, you will be responsible for developing and maintaining relationships with clients,...
-
Provider Relations Manager
3 weeks ago
Cleveland, Ohio, United States Hospice of the Western Reserve Full timeJob Title: Provider Relations ManagerWe are seeking a skilled Provider Relations Manager to join our team at Hospice of the Western Reserve. As a key member of our marketing and outreach team, you will play a critical role in developing and implementing strategic marketing plans to grow census, increase length of stay, and enhance the quality of care.Key...
-
Direct Market Manager
3 weeks ago
Cleveland, Ohio, United States ThinkTank Full timeJob Title: Direct Market ManagerThinkTank Telecom, LLC is seeking a highly motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in Cleveland, OH. As the cornerstone of our mission to enhance connectivity, your role will focus on enrolling new customers into Lifeline and ACP services, managing inventory, and driving significant...
-
Direct Market Manager
5 days ago
Cleveland, Ohio, United States ThinkTank Full timeJob Title: Direct Market ManagerThinkTank Telecom, LLC is seeking a highly motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in Cleveland, OH. As the cornerstone of our mission to enhance connectivity, your role will focus on enrolling new customers into Lifeline and ACP services, managing inventory, and driving significant...
-
Benefits Manager
4 days ago
Cleveland, Ohio, United States Arrow International Full timeJob SummaryArrow International is seeking a highly skilled Benefits Manager to join our team at our global headquarters in Brooklyn, Ohio. As a key member of our Total Rewards team, you will be responsible for supporting various initiatives and optimizing engagement, understanding, and utilization of benefit programs across the company.Key...
