Manager Provider Enrollment (East Coast resident / Eastern Standard Time)
Geisinger · US
Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summ...
Job description
Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job Summary: Provides leadership assistance to the operations of assigned department(s). Responsible for Provider and Facility Enrollment Services. Job Duties: Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. - Manages enrollment of providers and facility for the Health System as it applies to the Joint Commission, PA DOH, CMS, and third-party payer rules and other applicable regulatory standards to the enrollment processes within the system. - Reviews and analyzes data necessary to complete enrollment filings, processes and roster development for payer agencies and organizations. Oversees the team’s assessment of completeness of information and providers' qualifications relative to established standards. Identifies potential issues and flags adverse info...