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Naples, Florida, United States
Onsite
Position Summary
This position manages and monitors the payor enrollment activities for VMG, including the initial enrollment and re-credentialing of all medical group providers into governmental and managed care plans. Duties include, but are not limited to, initiating the enrollment application, provider re-validation, payer roster maintenance, payer credentialing support and related provider data activities with provider, payers, medical staff office and delegated credentialing partners. Position is responsible for maintaining Provider Enrollment data integrity including auditing and maintaining provider/payer roster. The position serves as a subject matter resource for provider enrollment processes and payer requirements and is responsible for identifying and resolving routine enrollment, roster and data issues. The position maintains provider enrollment data integrity across applicable systems and payer portals and provides reporting and information to support the Department Manager's oversight of provider enrollment, credentialing and payer-related operational activities.
Education
College degree required.
Experience
3 or more years in provider enrollment and/or payer credentialing required.
Strong Excel skills required.
Skills
Strong interpersonal skills with the ability to build and maintain effective working relationships with diverse internal and external stakeholders, including physicians, payers, administrators, and multidisciplinary teams.
Advanced analytical and data analysis skills with the ability to evaluate complex information, identify trends, and support informed decision-making.
Excellent written and verbal communication skills, including the ability to clearly convey information to various audiences.
Strong organizational and time management skills with exceptional attention to detail.
Ability to manage multiple priorities simultaneously and effectively balance competing deadlines in a fast-paced environment.
Demonstrated self-confidence, initiative, and ability to work independently while collaborating effectively within a team environment.
Proven problem-solving and critical-thinking skills with a focus on accuracy and results.
Ability to exercise sound judgment and maintain professionalism when interacting with stakeholders at all levels of the organization.
Job Location
Kraft CenterShift
Day (United States of America)Benefits
EEO Statement
Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.
