Provider Enrollment Specialist I

Easterseals MORC

  • Clinton Township, Michigan
  • 2 days ago

    Highlights

    This role manages CHAMPS/Medicaid enrollments and recertifications, coordinates commercial payer re-certifications, maintains accurate provider records, and ensures required documentation is reviewed and uploaded to support credentialing functions. Working within established procedures, the position monitors timelines, performs routine follow-up with providers and payers, and escalates complex issues as appropriate to maintain compliance and operational efficiency.

    Numbers & Facts

    LocationClinton Township, Michigan

    Description

    Easterseals MORC is hiring for a Registered Nurse - Intake Care Coordinator to help make a difference and become part of something bigger than yourself! 

    We are looking for Game Changers!

    The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.

    Benefits of Being a Superhero!

    Benefits:

    • Low-cost Dental/Health/Vision insurance
    • Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption.
    • Generous 401K retirement plan
    • Paid Leave Options Available
    • Up to $125 bonus for taking 5 days off in a row.
    • 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)
    • Wellness Programs
    • We are a PSLF (Public Service Loan Forgiveness) Employer.
    • We provide bonuses and extra incentives to reward hard work & dedication.
    • Mileage reimbursement in accordance with IRS rate.
    • Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
    • Student loan repayment options
    • Pet Insurance

    Qualifications:

    • High School diploma or equivilent
    • Two years of experience in clinic, business, or medical staff office experience preferred
    • One year of Provider Enrollment experience preferred

    Duties and Responsibilities:

    The Provider Enrollment Specialist I supports provider enrollment and recertification activities to ensure timely billing and uninterrupted payer participation. This role manages CHAMPS/Medicaid enrollments and recertifications, coordinates commercial payer re-certifications, maintains accurate provider records, and ensures required documentation is reviewed and uploaded to support credentialing functions. Working within established procedures, the position monitors timelines, performs routine follow-up with providers and payers, and escalates complex issues as appropriate to maintain compliance and operational efficiency

    • Facilitates CHAMPS and Medicaid provider enrollments to support timely billing and reimbursement processes.
    • Completes Medicaid and CHAMPS re-certifications in accordance with state requirements and established timelines.
    • Manages commercial payer re-certifications, ensuring required documentation is obtained and submitted in a timely manner.

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