Director of Provider Enrollment

Job Summary

A company is looking for a Director of Provider Enrollment.

Key Responsibilities

• Oversees the Provider Enrollment team and manages day-to-day enrollment operations
• Develops and maintains relationships with clients and the Provider Enrollment teams, ensuring timely and accurate enrollment activities
• Implements policies and procedures, monitors department activities, and prepares reports to analyze trends

Required Qualifications, Training, and Education

• High School diploma or equivalent; Bachelor's Degree in a related field preferred
• Minimum five years of experience in physician billing, hospital billing, or vendor management related to provider enrollment
• At least two years of supervisory or management experience preferred
• Familiarity with CAQH database, NPI website, and EDI, EFT, and ERA processes preferred
• Knowledge of provider enrollment requirements and medical terminology preferred