Provider Enrollment Specialist

3 weeks ago


Grand Rapids, Michigan, United States Hope Network Full time
Job Title: Provider Enrollment Specialist

We are seeking a highly skilled Provider Enrollment Specialist to join our team at Hope Network. As a key member of our team, you will be responsible for ensuring the timely enrollment of clinical and professional staff with all payers, facilitating the billing and collections of services rendered.

Key Responsibilities:
  • Enroll clinical and professional staff with payers to ensure timely billing and collections of services rendered.
  • Prepare, process, and maintain new and existing member enrollments and/or disenrollments in accordance with payer and departmental procedures.
  • Provide timely and professional assistance to internal and external customers regarding provider enrollment-related issues.
  • Interpret and apply payer enrollment and eligibility rules and procedures as needed during the enrollment process.
  • Monitor, research, and reconcile errors and rejections related to provider enrollment activities.
  • Serve as the primary liaison between payers and other service providers as needed.
Requirements:
  • Bachelor's degree in a related field or 3-5 years of experience in credentialing and/or provider enrollment.
  • Knowledge of the healthcare industry and enrollment process for commercial insurances, including Federal and State guidelines.
  • Proficiency in PC skills, including MS Office products.
  • Ability to multi-task and navigate a dynamic environment.
  • Well-developed analytical and problem-solving skills.
What We Offer:
  • Competitive hourly rate starting at $20/hour (commensurate with experience).
  • Medical, Vision, and Dental Care.
  • 403(b) Retirement Plan.
  • Educational Reimbursement.
  • Career-Pathing.
  • Paid Training.
  • Employee Referral Bonus.
  • Generous Paid Time Off.

At Hope Network, we value diversity and empower our team to meet the unique needs of the individuals we serve. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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