Manager, Provider Network Records

Navihealth Brentwood , TN 37024

Posted 3 days ago

Why navi

Health?

navi

Health is the result of over a decade of dedicated visionary leaders and innovative organizations challenging the status quo for PAC management solutions. We do healthcare differently and we are changing healthcare one patient at a time. How might you ask? By hiring talented clinicians, engineers, analysts, and healthcare leaders to create and utilize cutting edge technology to provide the patient with the best level of care for the right amount of time.

Why Is This Role Critical?

The Manager will be responsible for leading the day-to-day operations of the Network Coordinator team and ownership for record completion across the enterprise. The Network Coordinators are responsible for the accuracy of database documentation and the completeness of the medical record and navi

Health database. Specifically, this role is responsible for operational oversight, ensuring data integrity, strategic planning, policies, well as quality and productivity standards. The Manager, with direction from the Director, oversees delivery of weekly reporting and ensures adequate daily staffing. The Manager may be asked to assist the Director of Network Data in departmental governance including the establishment, maintenance and documentation of departmental policies and procedures and ensures these policies and procedures reflect navi

Health's organizational mission and goals.

What you will be accountable for.

  • Developing and driving execution within the team via clear goal setting, defining success, and managing evolving market and business needs.

  • Directs day-to-day operations at the colleague level, assigning and coaching colleagues as needed, to ensure service level and quality standards are met.

  • Forecasts, aligns resources, and delivers training to new and existing colleagues.

  • Participates in recruitment, interview, and hiring processes.

  • Maintains expert knowledge of: all applicable client process, contractual requirements, databases, compliance, data integrity, and security requirements.

  • Identifying areas of opportunity and ensures execution of department and market process improvement initiatives.

  • Ensuring colleague base is properly trained and is current in ongoing training in all relevant functions of the roles and delivers supplementary and ongoing coaching/training as needed for development.

  • Ensuring all SLAs are being met real-time and escalates issues that may negatively impact SLAs to Director.

  • Developing relationships with key internal customers such as Network Managers, General Managers and other operational leaders.

  • Utilizes weekly dashboards, quarterly reports, and other reports as needed to ensure end user colleagues are meeting expected performance metrics. This includes holding 1:1 performance management sessions with the colleague base.

  • Monitors departmental quality including adherence to navi

Health Record Completion Guidelines.

  • Escalates issues prohibiting or restricting service standards regarding but not limited to technology, service standards, and productivity to Director and appropriate navi

Health resources.

  • Performs all other duties as requested in support of the departmental and organizational goals.

What you will need to be successful

  • Bachelor's Degree in Business Administration, Organizational Development, Finance, Learning, or related field.

  • 35 years healthcare operations or administration experience to include demonstrated leadership preferred.

  • Experience in healthcare setting strongly preferred.

  • Exceptional interpersonal and communication skills.

  • Must be results driven and comfortable working in a fast-paced and dynamic environment with a high degree of accuracy

  • Excellent written and oral communications skills.

  • Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.

  • Demonstrate critical thinking skills.

  • Creative thinking and problem-solving experience with the ability to consider impacts of decisions or actions.

  • Ability to verbally articulate and communicate with Director, team members, and customers.

  • Extremely detail oriented. Correctly interpret data and information in the nH Coordinate system.

  • Work cross functionally to drive results.

  • Ability to influence stakeholders in a matrixed environment to drive projects to success.

About Us

navi

Health is a pioneer in post-acute care and care transitions with a combined and unprecedented 18 years of experience that uniquely positions us to manage patients, improve clinical and financial outcomes, and share risk with payors and providers. As a Cardinal Health company, we provide clinical support alongside scalable technology and advisory solutions that empower health systems, health plans, and post-acute providers to navigate care episodes across the continuum, with the goal of reducing waste and improving patient outcomes.

navi

Health Values

We care about the people we serve.

We care about each other.

We care about our communities.

We embrace innovation.

We like simple.

navi

Health is proud to be an equal opportunity/affirmative action employer. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.


Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Provider Enrollment Account...

HCA

Posted 2 days ago

VIEW JOBS 7/18/2018 12:00:00 AM 2018-10-16T00:00 Parallon believes that organizations that continuously learnand improve will thrive. That's why, after more than a decade, Parallon remainsdedicated to helping hospitals and hospital systems operate knowledgeably,intelligently, effectively and efficiently in the rapidly evolving healthcaremarketplace, today and in the future. As one of the healthcare industry's leadingproviders of business and operational services, Parallon is uniquely equippedto provide a broad spectrum of customized services in the areas of revenuecycle, purchasing, supply chain, technology, workforce management andconsulting. Parallon's purpose is simple. We serve andenable those who care for and improve human life in their communities. Provider Enrollment Account Manager Job Summary – The Provider Enrollment Account Manager is responsible for providing supervision and oversight of the enrollment process. The Account Manager works closely with department managers and staff in their day-to-day responsibilities and enrollment contacts to ensure timely notifications of new providers and provider changes. The Account Manager also serves as a liaison between the practice, managed care, payor, and provider enrollment department to ensure timely notification of new providers, provider changes, prompt processing of applications, and oversight of the enrollment process including escalations. Proficient in facilitation and interpersonal communication, the Account Manager also consistently demonstrates skills in organization, prioritization, professionalism and coaching others. Supervisor – Provider Enrollment Senior Account Manager Supervises – none Duties (included but not limited to) * Oversee the Provider Enrollment process including application/notification submission with Commercial and Government payors and credentialing activities, in coordination with department staff, Managed Care, Credentialing Processing Centers (CPCs) * Attend acquisition, initial, and recurring enrollment status calls with practices as needed to ensure seamless transition and implementation * Establish and facilitate meetings with Leadership for assigned Division enrollment review * Communicate enrollment updates to enrollment contacts and senior leadership * Respond to provider enrollment customer service inquiries * Coordinate and communicate continuously with other departments to share information, best practices, systems issues, process solutions, and training needs * Establishes and maintains effective payor relationships * Collaboratively works with managed care and the payor until enrollment resolution is reached * Prepare and analyze department operating reports * Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly stated * Identify and communicate to management educational opportunities * Collaborate with other departments to resolve enrollment or claim issues * Work to resolve time-sensitive and customer essential issues that arise on a day to day basis coordinating internal and external resources as necessary. * Acts as a liaison between assigned division/markets and Physician Service Center * Establish good working relationships with Market/Practice leadership * Complete special projects as assigned by management * Ensure compliance with company and departmental policies and procedures * Proactively review and provide data analysis and financial impact assessments * Review aged enrollments to determine root cause and next steps * Establish and review internal controls to ensure goals, objectives, standards, and benchmarks for the department are met or exceeded * Assist in timely month-end closing activities * Ensure training needs are met * Conduct enrollment contact, division, and payor meetings * Maintain working knowledge of workflow, systems, and tools used in the department * Promote continuous improvement and best practice in processes and performance for improving department functions * Lead in the creation and maintenance of a positive working environment * Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement" * Other duties as assigned Knowledge, Skills, and Abilities * Organization - proactively prioritizes needs and effectively manages resources * Communication - communicates clearly and concisely, verbally and in writing, including utilizing proper punctuation and correct spelling; able to communicate with staff, Parallon Management, and Division and Group Executives. * Service a Service Reputation – supports and implements service practices that meet customer and organization needs; using appropriate interpersonal styles and techniques to resolve difficult customer situations and regain customer confidence. * Positive Disposition – demonstrates a positive attitude in the face of difficult or challenging situations; providing an uplifiting (albeit realistic) outlook on what the future holds and the opportunities it might present. * Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations * Interpersonal skills - able to work effectively with other employees, patients, and external parties * PC skills - demonstrates proficiency in Microsoft Office applications and others as required * Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services * Tactical execution - oversees the development, deployment, and direction of complex programs and processes * Project Management - assesses work activities and allocates resources appropriately * Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, and systems * Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes; able to work quickly and accurately in a fast-paced environment while managing multiple demands; able to work both independently and collaboratively as a team player; demonstrates adaptability, analytical and problem solving skills, and attention to detail; and able to perform basic mathematical calculations, balance and reconcile figures, and transcribe accurately Education Bachelor's Degree in Business or related field required. Equivalent work experience may substitute education requirements. Experience Minimum three years' experience in related area preferred with two of these years being healthcare management experience or completion of the Parallon Manager Trainee Program. Knowledge of provider enrollment and credentialing process preferred. Experience in the management of projects. Strong customer focus and results driven. Shows strong initiative, innovation and motivation Has strong interpersonal and communication skills Certificate/License None Physical Demands / Working Conditions– Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations. OSHA Category– The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way. HCA Brentwood TN

Manager, Provider Network Records

Navihealth