Director Of Operations

Manila Recruitment View all jobs

  • Pampanga
  • Permanent
  • Full-time
  • 1 month ago
The posted salary is not the actual salary, as it remains confidential. Salary and compensation details will be discussed during the interview process.Company Profile:
  • Our client is a revenue cycle management organization dedicated to serving hospital-based providers. The organization aims to deliver world-class, technology-enabled revenue cycle management and business solutions.
  • Their specialties include Anesthesia and Emergency Medicine Revenue Cycle Management, Advisory Solutions for Practice Management, Hospital and Health System Consulting, RCM for Hospital-Based Specialties, and general Advisory Solutions.
Overall purpose and responsibilities of the role:
  • The role of the Director of Provider Enrollment involves overseeing daily operations, managing a team of approximately 100 people, and ensuring provider enrollment processes are efficient and compliant with payer networks.
Duties and Responsibilities:Job Summary:
  • Under administrative direction, the Director of Provider Enrollment oversees the Provider Enrollment team and the day-to-day Enrollment operations.
Essential Functions and Tasks:
  • Direct, lead, and manage the Provider Enrollment departments day-to-day operations, recruits, selects, orients, trains, coaches, counsels, and disciplines staff.
  • Develop relationships with the Provider Enrollment teams and documents needs and organizational priorities.
  • Ensure success of the provider enrollment lifecycle by monitoring client level metrics as well as ensuring timeliness and accuracy of teams enrollment activities related to new enrollment, reenrollment, enrollment denials and client level special projects.
  • Develop relationships with clients and provide regular status updates on credentialing related deliverables.
  • Makes recommendations on work-flow processes throughout the enrollment cycle to assist in achieving consistency and success.
  • Develop and make recommendations on policies, guidelines, and implement procedures to ensure consistent department-wide implementation and adherence.
  • Hold monthly (or as warranted) meetings with all levels of management to review held claims, status of client provider
  • Monitor timeliness and effectiveness of department activities, implement processes to identify gaps.
  • Compile and prepares a variety of reports for management in order to analyze trends and make recommendations.
  • Perform special projects and other duties as assigned.
Values:
  • Excellence: Encourage and promote excellence in partnering with and delivering results to our clients.
  • Accountability: Accept responsibility for achieving objectives and key results and be answerable for outcomes.
  • Teamwork: Embrace the power of one team to create and deliver value to clients by delivering consistent outcomes.
  • Growth: Provide consistent opportunities for colleagues to expand their capabilities & knowledge.
  • Transparency: Openly share ideas and information to promote trust, increase engagement and gain new perspectives.
  • Inclusiveness & Diversity: Embrace and celebrate diversity and promote an environment of inclusiveness.
  • Recognition: Acknowledge, embrace and celebrate colleague contributions that align with the company vision.
  • Compliance: Ensure enterprise-wide adherence to regulatory requirements, ethical standards, and best practices

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