Provider Enrollment Specialist I

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🔥 1 minute ago

🚗 Michigan – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Easterseals MORC

Easterseals MORC

501 - 1000 employees

Founded 1920

💼 Consulting

🤝 Non-profit

🏥 Healthcare

Consulting • Non-profit • Healthcare

Easterseals MORC is the leading nonprofit provider of services for individuals with behavioral health disabilities, emotional impairments, autism, developmental disabilities, and other special needs. Spanning the entire state of Michigan, Easterseals MORC has been offering help and hope to children and adults living with disabilities and to the family members who love them since 1920. They specialize in telehealth, senior services, mental health services, long-term care services, collaborative solutions, and a variety of other supportive services.

📋 Description

• Support provider enrollment and recertification activities to ensure timely billing and uninterrupted payer participation • Manage CHAMPS/Medicaid enrollments and recertifications • Coordinate commercial payer re-certifications • Maintain accurate provider records • Review and upload required documentation to support credentialing functions • Monitor timelines and perform routine follow-up with providers and payers • Escalate complex issues as appropriate • Facilitate CHAMPS and Medicaid provider enrollments to support timely billing and reimbursement • Complete Medicaid and CHAMPS re-certifications according to state requirements and established timelines • Manage commercial payer re-certifications, obtaining and submitting required documentation in a timely manner

🎯 Requirements

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

🏖️ Benefits

• Low-cost Dental/Health/Vision insurance • Dependent care reimbursement • 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 • PSLF (Public Service Loan Forgiveness) Employer • Bonuses and extra incentives to reward hard work & dedication • Mileage reimbursement in accordance with IRS rate • Free financial planning services through partnerships with the LoVasco Consulting Group and SoFi • Student loan repayment options • Pet Insurance

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