Provider Enrollment Manager

Provider Enrollment Manager

At Arietis Health, we recognize the vital role healthcare revenue cycle plays in maintaining the well-being of individuals and businesses alike.

Our commitment is to demystify healthcare billing by empowering individuals and collaborating with premier healthcare organizations to address their executives' most pressing revenue cycle challenges. By doing so, we enable them to shift their focus towards providing exceptional patient care. Grounded in the belief of harnessing the expertise of a highly skilled team and advanced technology, we strive to cultivate a seamless patient billing experience that not only excels in efficiency but also delivers superior results.

Join us in achieving our mission. We're actively seeking a Provider Enrollment Manager to join our fast-growing team. If you're eager to contribute to redefining the landscape of healthcare revenue cycle management and be a part of our collaborative, positive, and human-centric culture, we'd love to hear from you!
About the Position: The Provider Enrollment Manager will oversee the enrollment process for healthcare providers. This onsite role in Raleigh/Durham requires strong leadership, operational oversight, and direct interaction with providers and clients via calls and meetings. The ideal candidate will have experience managing group and individual provider enrollments
, writing and reviewing Standard Operating Procedures (SOPs), and leading a team to meet production and quality goals.
What You'll Do
:

• Manage initial enrollments, group enrollments
  , re-enrollments, and revalidations for providers across commercial and government payers.
• Prepare and submit applications through CAQH, PECOS, and payer portals, ensuring accuracy of credentials, licenses, and certifications.
• Conduct inbound/outbound calls with providers and clients to resolve enrollment issues and provide status updates.
• Supervise and coach the enrollment team, monitor production metrics, and ensure compliance with KPIs.
• Perform quality audits on completed applications and implement corrective actions.
• Write, review, and update SOPs to maintain consistency and compliance.
• Monitor hold reports, denials, and exceptions; collaborate with internal teams to resolve issues.
• Ensure adherence to CMS, NCQA, HIPAA, and payer-specific regulations.
• Perform other duties as assigned.
• Adherence to the Code of Conduct and Corporate Compliance Program

What You'll Bring:

• Bachelor's degree in business or health administration required, with an emphasis in project management.
• 5+ years in provider enrollment or credentialing, including group enrollment experience
  .
• 23 years in a leadership role with proven ability to manage teams and production.
• Strong knowledge of CAQH, PECOS, Medicare/Medicaid, and commercial payer systems.
• Excellent communication skills for client and provider-facing interactions.
• Proficient in Microsoft Office Suite or related software.
• Experience in working with reports, spreadsheets and Excel.
• Problem solving abilities.
• Ability to multi-task.
• Possess strong organizational skills.
• Understand HIPAA (Health Insurance Portability and Accountability) guidelines.
• Strong Language Ability:
  Read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Write routine reports and correspondence. Speak effectively before groups of customers or employees.
• Strong Mathematical Ability:
  Calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Apply concepts of basic algebra and geometry.
• Strong Reasoning Ability:
  Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Excellent technical writing capability
  • Excellent non-technical writing capability
  • Excellent telephone skills and manner with customers
  • Excellent face-to-face interactions with customers
  • Excellent organizational skills
  • Excellent process development and documentation skills

What We Offer: A chance to simplify revenue cycle management, together at a high-growth company! Since our founding in 2020, we're already helping millions of patients and thousands of providers each year. We are proud to offer:

• Competitive compensation
• 401K plan with company match
• PTO with 12 additional paid holidays
• Telehealth at no cost to employees
• Health, dental, vision, and prescription drug coverage
• Group life insurance, Optional Life, Critical Illness and more.
• Training, development, and mentorship opportunities

Other:

• Our commitment to fostering a diverse and inclusive workplace is unwavering. All qualified applicants will be considered for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.
• The job description provided above is not an exhaustive list of duties and standards for the…