Senior Provider Enrollment Specialist at VillageMD

| Atlanta, GA
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Join VillageMD as a Senior Provider Enrollment Specialist in Houston, TX; Phoenix, AZ; Atlanta, GA

Join the frontlines of today's healthcare transformation

Why VillageMD?

At VillageMD, we're looking for a Senior Provider Enrollment Specialist to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We are creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Could this be you?

Integral to our team, you will be responsible for daily management of the physician payor enrollment processes, workflows and controls associated with enrollment.  You will also be responsible for completion of provider credentialing records to ensure credentialing records comply with regulatory and accrediting agencies.  The Medical Credentialing Specialist is the liaison between the physicians, the payors and VillageMD.

How you can make a difference

  • Oversee day to day activities for payor credentialing functions.
  • Ensure protocols are being followed to ensure timely resolution and completion of payor enrollment to ensure no loss of revenue due to untimely payor enrollment.
  • Responsible for oversight of any outside vendor contracted to assist with payor enrollment.
  • Accurately prepare all required paperwork for provider payor enrollment/reenrollment.
  • Audit all paperwork before submitting ensuring the paperwork is completed and the data is correct.
  • Responsible for retaining a professional working relationship with all payors and providers.
  • Work closely with management in other areas of VillageMD and the client(s) to ensure seamless coordination and timely enrollment of new providers coming into the organization.
  • Develops timelines for completion of projects.
  • Provide weekly enrollment updates to management.
  • Responsible for communicating any potential issues with providers not completing required paperwork.
  • Ensure quantity and quality of work for meeting productivity/quality standards.
  • Assists with special projects as needed.

Skills for success

  • A willingness to learn, take initiative and be resourceful
  • A bias for action and pragmatic solutions
  • Detail oriented, ability to manage and prioritize requests, and effectively communicate
  • The ability to be flexible in an ambiguous and dynamic environment
  • Ability to solve problems, and establish trust
  • A low ego and humility; an ability to gain trust through strong communication and doing what you say you will do
  • Strong desire to learn and grow within a fast-growing company

Experience to drive change

  • High school diploma required; Associates degree preferred.
  • 3 or more years of experience in a provider/payor enrollment position is required.
  • Relevant certification such as CPCS or CPMSM is preferred. 
  • Demonstrated knowledge of third-party and insurance company operating procedures, regulations and billing requirements, and government reimbursement programs.
  • Working knowledge of payor credentialing rules and regulations.
  • Experience with CAQH.
  • Experience with Medicare and Medicaid provider enrollment applications and processes.
  • Demonstrated knowledge of how physician payor enrollment affects the revenue cycle.
  • Adds value to the organization through proactive analysis of and resolution to potential bottlenecks that may negatively affect the organization’s reimbursement and accounts receivable.
  • Demonstrated success and skill in management of projects and meeting deadlines.
  • Must possess excellent communication and diplomacy skills, demonstrate the ability to work in a team environment, and be able to effectively manage multiple work processes simultaneously.
  • Must have proven organizational skills
  • Possess the ability to effectively prioritize and present information publicly and communicate in writing clearly, concisely, thoroughly, and accurately.
  • Solid PC skills, specifically with Microsoft Word and Excel.

How you will thrive

In addition to competitive salaries, a 401k program with company match, bonus and a valuable health benefits package, VillageMD offers paid parental leave, pre-tax savings on commuter expenses, and generous paid time off. You work in a highly-collaborative, conscientious, forward-thinking environment that welcomes your experience and enables you to make a significant impact from Day 1.

Most importantly, you make a difference. You see a clear connection between your daily work on VillageMD products and services and the advancement of innovative solutions and improved quality of healthcare for providers and patients.

Our unique VillageMD culture – how inclusion and diversity make the difference

At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

Explore your future with VillageMD today.

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Technology we use

  • Engineering
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • RLanguages
    • SqlLanguages
    • SwiftLanguages
    • ReactLibraries
    • FlaskFrameworks
    • Node.jsFrameworks
    • Microsoft SQL ServerDatabases
    • Neo4jDatabases
    • PostgreSQLDatabases
    • RedisDatabases
    • TeradataDatabases

An Insider's view of VillageMD

What's the biggest problem your team is solving?

Aggregating disparate sets into one consumable interface is difficult. We constantly think about how to solve it faster and better while keeping it flexible and scalable.

Mario

Principal Software Engineer

What makes someone successful on your team?

It’s an individual’s willingness to get into the details, fully understand the current path to delivery, and think critically about the problems that face providers today that will make them successful at VillageMD.

Dave

Director, Product Development

What’s the vibe like in the office?

The office vibe is centered on holding our work to high standards while maintaining an environment focused on fun and collaboration. My coworkers and I will often be working on completely unrelated projects, but when we hit a roadblock we step back and ask each other for feedback and help. That’s usually when we find the best solutions.

Emily

Healthcare Informatics Analyst

What are VillageMD Perks + Benefits

VillageMD Benefits Overview

We offer competitive bonus, great benefits, generous PTO, strong parental leave policy, and 401k with a match. We are conveniently located near Metra and L trains, and offer commuter benefits. We offer schedule flexibility and work from home options. And, last but certainly not least: loads of snacks and fresh ground whole bean coffee!

Culture
Volunteer in local community
Partners with Nonprofits
Eat lunch together
Intracompany committees
Daily sync
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Dedicated Diversity/Inclusion Staff
Highly diverse management team
Unconscious bias training
Diversity manifesto
Mean gender pay gap below 10%
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Onsite Gym
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Volunteer Time
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Company Outings
Stocked Kitchen
Happy Hours
Recreational Clubs
Relocation Assistance
Professional Development Benefits
Job Training & Conferences
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Customized development tracks
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