Team Lead, Provider Enrollment

Ventra Health; United States; Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a Team Lead for Provider Enrollment to oversee credentialing support and inspire a team of professionals. This role is pivotal in fostering a collaborative environment while ensuring adherence to processes that enhance efficiency. The Team Lead will be responsible for training new hires, maintaining quality standards, and effectively communicating with providers and payers. If you possess strong leadership and organizational skills and are looking to make a significant impact in a dynamic healthcare setting, this opportunity is for you.

Qualifications

• At least 1 year in data entry field.
• Medical terminology and/or credentialing experience preferred.

Responsibilities

• Provide credentialing support and expertise to team members.
• Assist in maintaining a structured work environment.

Skills

Leadership Skills

Organizational Skills

Problem-Solving Skills

Communication Skills

Time Management Skills

Education

High School Diploma or Equivalent

Tools

Credentialing Software

Job description

About Us

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

Job Summary

• The Team Lead, Provider Enrollment provides credentialing support, expertise, and monitors a group of colleagues to achieve goals that contribute to the growth of the organization. Team Lead motivates and inspires their teammates by creating an environment that promotes positive communication, encourages bonding of team members, and demonstrates flexibility. The Team Lead supports several medical practices including facility credentialing, payer credentialing, and license/certification renewal.
• Assists the supervisor/manager in maintaining a structured work environment that benefits both the colleagues and clients. Acts as a liaison between the manager and other staff, ensuring that procedures are being followed, while also suggesting ideas for streamlining processes. The prime role is to assist and help the immediate supervisor and the team members in whatever area it is demanded, whenever and wherever possible

Essential Functions and Tasks

• The Subject Matter Expert (SME) in their current role as specialist.
• Assist with training new hires on the job role.
• The ability to foster teamwork.
• In-depth knowledge of the work procedures to be able to train other members.
• Good organizational, leadership and time management skills.
• Maintain quality and implement procedures to improve the functioning for better.
• efficiency and productivity.
• Flexibility in handling different responsibilities as required by Supervisor.
• Allocates workload fairly.
• Seen as a reliable, transparent and honest colleagues.
• Strong oral and written skills.
• The ability to work well with others.
• Strong leadership skills that include being a self-starter.
• Accurately complete credentialing and reappointment applications to be sent to payers and facilities on behalf of providers.
• Track progress of outstanding applications and report progress to Client Managers/Team Leaders.
• Keep current provider records electronically in Credentialing software, electronic provider folders, and in provider hard copy folders.
• Assist in obtaining needed documentation from providers, such as copies of state licenses, IRS documents, NPI Notification forms, DEA numbers, board certifications, malpractice certificate of insurance, etc.
• Prepare professional communication to providers, payers, and facilities.
• Understand how provider credentialing impacts billing, contracts, and EDI.
• Write professional communication to appropriate audience.
• Ability to learn new software.
• Complete tasks and projects by deadline, achieve daily/weekly production expectations.
• Generate daily reports.
• Investigate solutions to problems and determine the best course of action. Problem-solving permits team leaders to anticipate challenges and develop a plan to solve them.

Knowledge, Skills, and Abilities

• High School diploma or equivalent.
• Medical terminology and/or credentialing experience preferred.
• At least one (1) year in data entry field.
• At least one (1) year in medical billing preferred.

Ventra Health

Equal Employment Opportunity (Applicable only in the US)Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.Recruitment AgenciesVentra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.Solicitation of PaymentVentra Health does not solicit payment from our applicants and candidates for consideration or placement.

Attention CandidatesPlease be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services.These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at [e-mail] to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.

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