Provider Enrollment Manager

Brault is a practice management, billing and coding company exclusively serving acute care independent physician practices. Privately-held and family-owned business founded in 1990, the company is currently led by Dr. Andrea Brault, President and Chief Executive Officer. The company is staffed by nearly 300 professionals around the U.S. with headquarters in San Dimas, California.

The successful Provider Enrollment Manager brings outstanding project management and priority setting skills to the department with an ability to deliver a variety of problem solving strategies to daily changes in priority projects. The manager has excellent knowledge of payer enrollment requirements and will provide hands-on oversight and direction to the Provider Enrollment Specialists. Effective education and direction of PE staff and billing department stakeholders is a key deliverable. This position has overall responsibility for key enrollment functions that support appropriate payer contracting and claims adjudication as well as Brault’s brand as a premium provider of client services in emergency medical billing.

Knowledge, Skills, & Abilities

• Experience and knowledge of regulatory issues (CMS 855 filings, HIPAA and privacy regulations, etc.)
• Experience completing and submitting provider enrollment packets to third party payers throughout the country
• Proven skills at leading, influencing, and negotiating
• Excellent written communication skills
• Facilitation, critical thinking, and decision making skills
• Skilled with Microsoft Office Suite and Excel
• Ability to develop direct reports, coach, and motivate with diplomacy and supportiveness
• Lead the management of multiple and competing priorities in a fast paced environment
• Excellent ability to analyze, interpret, and communicate policies, procedures, and regulations effectively
• Experience with Intellisoft Provider Enrollment software is a plus

Education & Experience Requirements

• Undergraduate degree in related discipline, or equivalent experience.
• 6+ years of management experience in a corporate environment with 300 employees
• A CPCS certification is highly preferred