Manager of Provider Services
Rethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform (http://RethinkBH.com) provides clinical, staff training and practice management tools for private ABA service providers. Due to autism insurance mandates sweeping the nation, our behavioral health division is experiencing unprecedented growth. Therefore, we are looking for the right person to join our billing service team.
Our office specializes in Revenue Cycle Management for ABA practices. We are looking for an experienced professional who will promote a positive work environment through progressive leadership. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.
The Manager of Provider Services will play a key role in the continued development and growth of the Provider Services department and will work closely with the Implementations Team and the Billing Services Team to ensure the best customer experience.
Main Responsibilities:
- Ensure strict HIPAA-compliant confidentiality with all client-related data.
- Oversee the day-to-day operations of Rethink’s Provider Services Team.
- Supervise a team of Enrollment & Credentialing Specialists and Benefit and Authorization Specialists; including but not limited to assigning and monitoring workloads, operational productivity and performance, and management of procedures and workflows.
- Serve as the Enrollment & Credentialing and Benefit and Authorization subject matter expert resource internally and externally.
- Identify and implement opportunities to improve the quality of Enrollment & Credentialing and Benefit & Authorization Management services that result customer satisfaction.
- Assess existing processes to ensure Rethink’s Enrollment & Credentialing services and Benefit and Authorization Management services are being provided based on payor current requirements and best practices.
- Make recommendations to Rethink leadership to address and improve operational protocols for the Provider Services department that focus on enhanced customer experience.
- Communicate staff hiring needs based on existing and projected workload capacity based on new customer account acquisitions.
- Train, direct, develop and evaluate staff.
- Develop and perform routine quality assurance audits to ensure timelines for Enrollment & Credentialing applications/contracts are being met.
- Develop and perform routine quality assurance audits to ensure timelines for Benefit and Authorization Management SLAs are being met.
- Ensure that all BAM spreadsheets are being maintained ongoing for organization, communication purposes and for customer invoicing
- Interview candidates, make recommendations for hire and termination when applicable.
- Document and communicate updated payor billing requirements to Provider Services members.
- Facilitate regular staff meetings that focus on key business metrics and best practices.
- Manage account caseload as needed.
Required Qualifications
- Minimum 5-7-years Supervisory experience
- Minimum 7-10-years Insurance Billing/Enrollment & Credentialing experience
- Strong verbal and interpersonal skills
- Positive attitude and loves a good challenge
- Exceptional leadership qualities
- Experience using Salesforce
Preferred Qualifications and Experience
- Bachelor’s degree preferred
- Minimum of 10 years Supervisory experience
- Minimum 10 years of Insurance Billing/Provider Enrollment & Credentialing experience
- Experience leading teams
- Customer service experience required
- Proficient using Microsoft Suite (Excel, Outlook, Word)
- Experience using billing software Tebra or Azalea
- Experience using various Credentialing software (Echostream, etc.)
Benefits:
- PTO and Vacation Days after a 90-day introductory period
- Paid Holidays
- Generous Health, Dental & Vision benefit packages
- 401k + Matching
Job Type: Full-time, Monday-Friday (9-5 PM) Salaried
Remote opportunities are available only in the following states: AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA
Our commitment to an inclusive workplace
RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
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