Home Care Credentialing – Provider Enrollment Specialist

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🔥 25 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

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Quality Home Care Michigan

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2025

👥 B2C

🧘 Wellness

B2C • Wellness

Quality Home Care Michigan is a provider of non-medical in-home care services serving families across Oakland, Macomb, and Wayne Counties in Michigan. The company offers personal care assistance, companionship, meal preparation, light housekeeping, and medication logs, with flexible scheduling from 4 to 24 hours and a Family Portal for real-time updates. Caregivers are background-checked, trained, and insured, and the agency emphasizes transparent, compassionate, family-centered support.

📋 Description

• Maintain and update CAQH ProView profiles for all providers. • Complete initial and re-credentialing applications with Medicare, Medicaid, and commercial payers. • Track enrollment status, follow up with payers, and ensure timely approvals. • Maintain credentialing files, audit documentation, and compliance reports. • Collaborate with operations and billing teams to support reimbursement and network participation. • Monitor expiration dates and manage re-credentialing processes. • Act as a liaison between providers, payers, and internal teams to resolve credentialing issues.

🎯 Requirements

• 2+ years of provider enrollment or healthcare credentialing experience, preferably in non skilled home care in the state of Michigan • Strong knowledge of CAQH ProView, Medicare PECOS, Medicaid portals, and commercial payer systems. • Excellent attention to detail, organization, and follow-up skills. • Ability to manage multiple tasks and meet deadlines. • Strong verbal and written communication skills. • Experience with credentialing software or tracking systems is a plus. • Prior experience with non-skilled home care licensing requirements in the state of Michigan • Knowledge of provider contracting and network participation. • Familiarity with auditing credentialing and compliance documentation specifically in the state of Michigan.