Provider Enrollment Specialist
1 month ago
Hope Network is seeking a skilled Provider Enrollment Specialist to join our team. As a key member of our enrollment team, you will be responsible for ensuring timely and accurate enrollment of clinical and professional staff with all payers.
Key Responsibilities- Enroll and maintain provider information with payers, ensuring compliance with all relevant regulations and guidelines.
- Process and maintain new and existing member enrollments and disenrollments, adhering to departmental procedures and payer requirements.
- Provide exceptional customer service to internal and external stakeholders, addressing enrollment-related inquiries and concerns in a timely and professional manner.
- Stay up-to-date on payer enrollment and eligibility rules, applying this knowledge to facilitate smooth enrollment processes.
- Monitor and reconcile errors and rejections related to provider enrollment, ensuring timely resolution and revenue collection.
- Collaborate with internal departments to develop and review processes, resolving issues in a timely and efficient manner.
- 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 processes for commercial insurances, including federal and state guidelines.
- Proficiency in PC skills, including MS Office products and project management tools.
- Ability to multitask and navigate complex environments, with strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills, with a focus on delivering exceptional customer service.
- Competitive hourly rate, with opportunities for growth and advancement.
- A comprehensive benefits package, including medical, vision, and dental care.
- A 403(b) retirement plan and educational reimbursement opportunities.
- A supportive and diverse work environment, with a focus on career development and growth.
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Clinical Enrollment Specialist
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Grand Rapids, Michigan, United States Hope Network Full timeProvider Enrollment SpecialistWe are seeking a skilled Provider Enrollment Specialist to join our team at Hope Network. As a key member of our enrollment team, you will be responsible for ensuring the timely and accurate enrollment of clinical and professional staff with all payers.Key Responsibilities:Prepare, process, and maintain new and existing member...
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Clinical Enrollment Coordinator
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Patient Access Specialist
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Grand Rapids, Michigan, United States Hope Network Full timeJob Title: Provider Enrollment SpecialistAbout the Role:At Hope Network, we are seeking a skilled Provider Enrollment Specialist to join our team. This role is responsible for the enrollment of clinical and professional staff with all payers to ensure timely billing and collections of services rendered.Key Responsibilities:Prepares, processes, and maintains...
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RN - Quality and Provider Education Specialist
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Grand Rapids, Michigan, United States Strategic Staffing Solutions Full timeJob SummaryWe are seeking a skilled RN to join our team as a Field Nurse Quality and Provider Education Specialist. In this role, you will be responsible for participating in provider visits to develop partnerships, provide training, education, and review of medical records. You will also be required to work onsite at our Grand Rapids location...
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Grand Rapids, Michigan, United States Douglas J Aveda Institutes & Salons Full time{"h1": "Job Opportunity at Douglas J Aveda Institutes & Salons", "p": "We are seeking a highly motivated and organized individual to join our team as an Enrollment Specialist. In this role, you will be responsible for guiding prospective students through the school tour, enrollment, and student orientation process. ", "ul": [{"li": "Conduct engaging and...
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