Provider Enrollment Specialist I
Easterseals MORC
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- Location
- Clinton Township, MI
- Work style
- On-site
- Job type
- Full time
- Posted
- Oct 23
- 1 day ago
Career path
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About the company
Easterseals MORC
Non-profit organization management · 501 to 1,000 employees
What you'll do
- Facilitates CHAMPS and Medicaid provider enrollments
- Completes Medicaid and CHAMPS re-certifications
- Manages commercial payer re-certifications
- Maintains accurate provider records
- Reviews and uploads required documentation
- Monitors timelines and performs routine follow-up with providers and payers
What you need
- 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)
Key skills
Provider EnrollmentCHAMPSMedicaidcommercial payer re-certificationsprovider recordscredentialing
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Perks
- Low-cost Dental/Health/Vision insurance
- Generous 401K retirement plan
- Paid Leave Options
- Wellness Programs
- 10 paid holidays
- Mileage reimbursement
- Student loan repayment options
- Pet Insurance
See full description on company page, apply now
Read the full posting here
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.