(USA) Senior Manager, Enrollment Services - Health & Wellness
(USA) Upstream Building AR Bentonville Home Office, United States
USD 90K-180K Senior-level Full Time
Tasks
- Analyze enrollment KPIs
- Collaborate with IT legal compliance operations and contracting
- Ensure timely enrollment submissions
- Lead payer provider enrollment operations
- Maintain enrollment compliance with state and federal requirements
- Manage provider enrollment appeals
- Mentor and develop enrollment coordinators
- Monitor portal issues and policy changes
- Optimize process performance
- Oversee facility and individual provider enrollment
- Reduce processing times
- Streamline enrollment workflows
Perks/Benefits
- 401k
- Company discounts
- Education benefit (Live Better U)
- Family care leave
- Life insurance
- Long-term disability
- Medical, dental & vision coverage
- PTO
- Parental leave
- Short-term disability
- Travel up to once per month
Skills/Tech-stack
Billing | CAQH | CMS | Commercial Payers | Cycle management | Document SOP Management | EDI | Eligibility and Insurance Verification | Insurance verification | Joint Commission) | Laws Regulations | Medicaid | Medicaid MCO | Medicare | Medicare MCO | NCQA | Provider credentialing | Provider enrollment | Revenue Cycle | Revenue Cycle Management | SOP management | State Laws Regulations | URAC
Education
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