Director of Provider Enrollment

Details: Community Health Systems Professional Services Corporation is one of the leading  operators of general acute care hospitals. The organization's affiliates own, operate or lease 134 hospitals in 29 states, with an aggregate of approximately 19,800 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a range of inpatient medical and surgical services, outpatient treatment and skilled nursing care.  In over 60 percent of the markets served, CHS-affiliated hospitals are the sole provider of healthcare services.   Community Health Systems Professional Services Corporation seeks a Director of Provider Enrollment for its Franklin, TN, headquarters’ Physician Operations team.  The Director of Provider Enrollment oversees daily operational processes while creating policies and procedures to establish the most efficient and effective methods of providing enrollment services.  Essential Duties and Responsibilities include the following.  Other duties may be assigned.  • Maintains working knowledge of CMS regulatory and enrollment policies and procedures.• Creates and introduces programs to assist in department morale if needed.• Interacts positively in a team environment, demonstrating superior teamwork, leadership skills, and customer service with all customers, (i.e. Department, Provider, Practice, Hospital, Division, etc.).• Continues to develop and coach departments’ managers and supervisors. • Identifies the need for performance improvement plans for team members not performing their duties in accordance with departmental policies and mission.• Monitors departments’ workload and creates a plan of action to redistribute as needed.• Establishes a system based upon benchmarks to address resources within the department and to assist in preparing the necessary justifications when necessary.• Develops and maintains a meeting with Division representatives regarding the status of enrollment activities and specifically each Division’s status of respective providers.• Monitors new physician acquisitions, (Transaction Status Report), and coordinates enrollment activities where applicable.• Comprises knowledge of delegated credentialing regulations.• Advises & recommends direction to local practice staff and/or hospital management regarding enrollment issues.• Prepare strategy for “best practice” of obtaining provider numbers from payers.• Maintains working knowledge of Vistar Computer system.• Any other assigned responsibilities as requested by VP Physician Operations not specifically noted above.

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