Provider Enrollment & Credentialing Manager

  • Sector: Monroe Health
  • Contact: Cherry Anne Santos
  • Client: Monroe Consulting Group
  • Location: Province of Pampanga
  • Salary: PHP50000 - PHP60000 per month
  • Expiry Date: 22 August 2024
  • Job Ref: BBBH439633_1719184565
  • Contact Email:

Executive search firm Monroe Consulting Philippines is recruiting on behalf of healthcare company that provides world-class technology-enabled revenue cycle management and related business solutions for hospital-based physician specialties. They are seeking for a Provider Enrollment and Credentialing Manager that will oversee and ensure strong, long-term relationships with Anesthesia Medicine (AM) and Emergency Medicine and Hospital Medicine (EM/HM) clients. This role involves monitoring operational and business services for clients, assessing AM performance, and addressing issues as needed.

Job responsibilities:

  1. Monitor client performance and establish mechanisms to maintain successful relationships with client leadership, physicians, hospitals, and provider partners.
  2. Utilize the company's key performance indicator tools and analytics to manage and report on client performance.
  3. Analyze client results to identify revenue cycle issues and collaborate with Operations and Revenue Cycle Management teams on solutions.
  4. Develop plans to ensure clients meet service level agreement standards and lead remediation efforts when necessary.
  5. Conduct structured operational and management services reviews for clients, presenting insights regularly.
  6. Coach and support Provider Enrollment and Credentialing Managers to exceed expectations.
  7. Implement new client programs and initiatives effectively.
  8. Build positive relationships within the team and address client concerns promptly.

Job Requirements:

  • Bachelor's Degree or 3+ years in Provider Enrollment and Credentialing preferred.
  • Proven success in client relationship management.
  • Strong analytical skills for data analysis and reporting.
  • Ability to manage multiple priorities and meet deadlines.
  • Excellent written and verbal communication skills.
  • Attention to detail in handling client communications and tasks.
  • Decision-making ability supported by data and collaboration.
  • Leadership skills to motivate team members.
  • Interpersonal skills to interact effectively with various stakeholders.