OrthoVirginia

Provider Enrollment Manager

Posted on

April 4, 2025

Job Type

Full-Time

Role Type

Leadership / Management

License

None Required

State License

Virginia

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Company Description

Job Description

Manager, Provider Enrollment – Join OrthoVirginia! Are you ready to lead with purpose and passion? OrthoVirginia, Virginia's largest provider of expert orthopedic and therapy care, is seeking a dynamic Manager, Provider Enrollment to join our team! This position offers the flexibility of remote work, with occasional travel to the office. In addition to a collaborative, team-oriented environment, we provide an outstanding employment package that includes: Competitive salaries Excellent medical, dental, and vision benefits Generous paid time off (PTO) 401(k) plan with profit sharing Short-term and long-term disability insurance Life insurance Company-wide wellness program

Requirements

Skills & Qualifications: Strong oral and written communication skills. Exceptional organizational and time management abilities. Adept at independent decision-making and problem-solving. Proficient in engaging with all organizational levels High proficiency in Microsoft Office Suite Flexible, resourceful, and a proactive troubleshooter. Detail-oriented with excellent follow-through, managing multiple tasks simultaneously, and setting priorities effectively Requirements: Bachelor’s degree in business, healthcare administration, accounting, or related field (alternatively, 4 years' experience may be accepted alongside required experience). 3+ years of leadership experience. 7+ years of combined credentialing and insurance enrollment experience, preferably within a large practice of 300+ providers. Employment contingent on successful completion of background, drug, and TB Screen

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Responsibilities

As Manager, Provider Enrollment, you'll play a vital role in achieving departmental and practice goals, including: Leading the Credentialing and Provider Enrollment team to accomplish objectives effectively Overseeing and ensuring the completion of insurance enrollment applications for healthcare providers. Managing credentialing, re-credentialing, and privileging processes with hospital systems. Addressing credentialing queries from staff and providers regarding participation, credentials, and documentation. Training and developing team members on provider enrollment and credentialing best practices, and fostering growth through individual development plans. Collaborating with revenue cycle management to resolve billing issues linked to credentialing. Managing relationships with credentialing and provider enrollment vendors. Optimizing credentialing software and implementing new solutions when necessary. Evaluating workflows, streamlining processes, and enhancing quality across the team. Building strong relationships with providers and practice managers to ensure clear and timely communication. Supporting onboarding efforts during mergers and acquisitions Developing data metrics and KPIs to assess the effectiveness of the team’s efforts Managing departmental budget and contributing to broader organizational goals. Tackling other exciting challenges as assigned.

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