Provider Enrollment Specialist I

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Assist with provider enrollment and recertification processes to ensure prompt billing and seamless participation with payers.

• Oversee CHAMPS/Medicaid enrollments and recertifications.

• Coordinate re-certifications with commercial payers.

• Ensure the accuracy of provider records.

• Review and upload necessary documentation to facilitate credentialing activities.

• Track timelines and conduct regular follow-ups with providers and payers.

• Address complex issues by escalating them as necessary.

• Support the enrollment of providers in CHAMPS and Medicaid.

• Complete Medicaid and CHAMPS re-certifications in accordance with state regulations and set timelines.

• Oversee the re-certifications for commercial payers and ensure timely collection and submission of required documentation.

⛳️ Requirements

• High School diploma or equivalent qualification.

• Preferred two years of experience in a clinic, business, or medical staff office setting.

• Preferred one year of experience in Provider Enrollment.

🏝️ Benefits

• Affordable Dental/Health/Vision insurance options.

• Reimbursement for dependent care expenses.

• Up to 5 days of paid FMLA for maternity, paternity, foster care, and adoption leave.

• Generous 401K retirement savings plan.

• Various paid leave options available.

• Up to $125 bonus for taking 5 consecutive days off.

• 10 paid holidays and 3 floating holidays (totaling over 30 days of paid time off).

• Wellness program offerings.

• Employer participation in the Public Service Loan Forgiveness (PSLF) program.

• Bonuses and additional incentives to recognize hard work and commitment.

• Mileage reimbursement according to IRS rates.

• Complimentary financial planning services through partnerships with the LoVasco Consulting Group and SoFi.

• Options for student loan repayment.

• Pet insurance available.