Clinical Enrollment Coordinator

4 days ago


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

We are dedicated to helping individuals overcome challenges and achieve their goals. At Hope Network, we strive to make a positive impact in the lives of those we serve.

As a Provider Enrollment Specialist, you will play a critical role in ensuring the timely billing and collections of services rendered. Your responsibilities will include:

  • Enrolling clinical and professional staff with all payers to facilitate the billing and collections process.
  • Preparing, processing, and maintaining new and existing member enrollments and/or disenrollments in accordance with payer and departmental procedures.
  • Providing timely and professional assistance to internal and external customers regarding provider enrollment-related issues.
  • Interpreting and applying payer enrollment and eligibility rules and procedures as needed during the enrollment process.
  • Monitoring and reconciling errors and rejections related to provider enrollment issues to ensure successful collection of revenue for services rendered.

Requirements:

  • Bachelor's degree in a related field or 3-5 years of experience in credentialing and/or provider enrollment.
  • Knowledge and understanding of the healthcare industry and the enrollment process for commercial insurances, including Federal and State guidelines.
  • Proficiency in PC skills, including MS Office products.
  • Ability to multi-task and navigate within an environment that presents multiple needs, demands, and changes.
  • Well-developed analytical and problem-solving skills.

Work Schedule:

Monday-Friday, 8:00am-4:30pm

Why Work at Hope Network?

We value diversity and empower our team to meet the distinct needs of the individuals we serve. Our strength lies in our ability to make a positive impact in the lives of those we serve.



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