What You’ll Bring:
Commitment to maintaining the highest ethical standards and fostering a strong organizational structure that prioritizes efficiency, accuracy, and compliance.Exceptional organizational skills and attention to detail, ensuring efficient and accurate enrollment processes.Deep understanding of regulatory requirements and industry standards related to provider enrollment, including familiarity with various payer types (governmental and commercial).Expert analytical skills and the ability to translate data insights into actionable strategies for process improvement.Proven leadership and team management skills, with a demonstrated ability to build and motivate high-performing teams.About the Team:
Our Enrollment Services team is dedicated to ensuring that Providers and Facilities are efficiently and accurately enrolled in our network. We operate collaboratively, striving to support the company’s mission of helping people save money and live better by ensuring accessible and high-quality healthcare services. Your leadership will be crucial in streamlining processes and improving provider satisfaction.
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The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process.
This position is based at our main corporate campus in Bentonville, Arkansas! We have an excellent relocation package to help you get here!
Learn more about what Bentonville has to offer:
https://www.bentonvillear.com/https://greaterbentonville.com/relocating/At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.
You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable.
For information about PTO, see https://one.walmart.com/notices.
Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.
For information about benefits and eligibility, see One.Walmart.
The annual salary range for this position is $130,000.00-$260,000.00
Additional compensation includes annual or quarterly performance bonuses.
Additional compensation for certain positions may also include:
- Stock
Minimum Qualifications...Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.
Bachelor’s degree in healthcare administration, business, accounting, economics, or related area and 4 years’ experience in revenue cycle management, billing, payer enrollment, or related area. 7 years’ experience in revenue cycle management, billing, payer enrollment, or related area. 1 year’s supervisory experience. Prior work experience in eligibility and insurance verification processes, provider enrollment, and EDI practices.Prior work experience in enrolling providers and facilities in commercial and government plans across all 50 states.
Prior work experience interpreting NCQA, Joint Commission, URAC, CMS, and state laws and regulations as they pertain to provider credentials.
Prior work experience with and knowledge of CAQH and credentialing processes.
Prior work experience in delegated credentialing and verification.
Prior work experience in accreditation and certification requirements.
Prior work experience managing and mentoring an enrollment team.
Prior work experience in process improvement and operational excellence in revenue cyclePreferred Qualifications...
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
Master's degree in Healthcare Administration, Business, Accounting, Economics, or related area., NAMSS Credentialing/Enrollment Certification (CPCS, CPMSM).Primary Location...2608 Se J St, Bentonville, AR 72712, United States of America