Payer Enrollment Specialist

4 weeks ago


Grand Rapids MI USA, United States University of Michigan Health-West Full time
Payer Enrollment Specialist

University of Michigan Health-West is seeking a highly skilled Payer Enrollment Specialist to join our team. As a key member of our Patient Financial Experience department, you will play a critical role in ensuring the smooth enrollment of providers with various payers.

Key Responsibilities:
  • Compile and maintain accurate data for all providers
  • Complete provider credentialing and re-credentialing applications, monitoring for completeness and accuracy
  • Maintain current and accurate provider information in health plan directories
  • Apply for and maintain National Provider Identifiers for new and existing providers
  • Ensure practice addresses are current with health plans and other entities
  • Communicate effectively with billing departments to resolve claims issues related to credentialing denials
  • Audit health plan directories for current and accurate provider information
Requirements:
  • High school diploma or equivalent
  • Associates degree preferred
  • Certified Provider Credentialing Specialist (CPCS) preferred
  • Two years of relevant credentialing and/or healthcare experience
  • Knowledge of Microsoft Office (Excel, Word, PowerPoint, Access)
  • Excellent customer service skills and willingness to be a team player
  • Excellent written and verbal skills, with emphasis on attention to detail
  • Ability to meet deadlines and prioritize work effectively


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