Payer Enrollment Specialist

2 hours 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 operation of our provider credentialing processes.

Key Responsibilities:
  • Compile and maintain accurate and up-to-date data for all providers.
  • Complete provider credentialing and re-credentialing applications, monitoring applications and following up as needed.
  • Maintain knowledge of current health plan and agency requirements for credentialing providers.
  • Apply for and maintain National Provider Identifiers for all new and existing providers.
  • Ensure practice addresses are current with health plans, agencies, and other entities.
  • Maintain clear and consistent communication with billing departments to resolve claims issues related to credentialing denials.
  • Track license, DEA, CAQH, and professional liability expirations.
  • 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 (2) 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 daily, weekly, and/or monthly deadlines.
  • Ability to organize and prioritize work and manage multiple priorities.
  • Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.


  • Grand Rapids, MI , USA, United States University of Michigan Health-West Full time

    About the RoleUniversity of Michigan Health-West is seeking a skilled Payer Enrollment Specialist to join our team. As a Payer Enrollment Specialist, you will play a critical role in maintaining regular cooperation and compliance with regulatory, accrediting, and membership-based organizations.Key ResponsibilitiesProcess applications and reappointment...


  • Grand Rapids, United States Hope Network Full time

    Job DescriptionJob DescriptionProvider Enrollment SpecialistWe are helping people overcome. Join us.Each year at Hope Network, 2,800+ talented professionals serve individuals across 280 unique locations. Some serve by providing hands-on care or medical treatment, others serve by assisting behind the scenes, but they all play an integral part in creating...


  • Grand Rapids, United States Hope Network Full time

    Provider Enrollment SpecialistWe are helping people overcome. Join us. Each year at Hope Network, 2,800+ talented professionals serve individuals across 280 unique locations. Some serve by providing hands-on care or medical treatment, others serve by assisting behind the scenes, but they all play an integral part in creating comebacks. Click here to watch...


  • Grand Rapids, Michigan, United States Hope Network Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Provider Enrollment Specialist to join our team at Hope Network. The successful candidate will be responsible for the enrollment of clinical and professional staff with all payers to ensure timely billing and collections of services rendered.Key ResponsibilitiesEnrollment and Onboarding:...


  • Grand Rapids, Michigan, United States Douglas J Aveda Institutes & Salons Full time

    Career Opportunities at Douglas J Aveda Institutes & SalonsWe are seeking a highly motivated and goal-driven individual to join our team as an Enrollment Specialist.**Job Summary:**As an Enrollment Specialist, you will play a critical role in guiding prospective students through the school tour, enrollment, and student orientation process.**Key...


  • Norwood, Bronx, NY, USA, United States ProKatchers LLC Full time

    ProKatchers LLC is seeking a skilled professional to fill the role of Enrollment Specialist. The successful candidate will be responsible for the credentialing of physicians and allied health providers. Key requirements include 3-5 years of payer/provider enrollment experience and strong Excel skills. A high school diploma or equivalent is also required. The...

  • Enrollment Specialist

    2 weeks ago


    Grand Rapids, Michigan, United States Douglas J Aveda Institutes & Salons Full time

    Job Summary:We are seeking a highly motivated and goal-driven individual to join our team as an Enrollment Specialist at Douglas J Aveda Institutes & Salons. As a key member of our campus team, you will play a critical role in guiding prospective students through the school tour, enrollment, and student orientation process.Key Responsibilities:Conduct...


  • St. Petersburg, FL, USA, United States Zelis Healthcare Full time

    Job SummaryZelis Healthcare is seeking an experienced Implementation Support Specialist to join our team. As an Implementation Support Specialist, you will collaborate closely with our Implementation Team to facilitate seamless client implementations. You will work alongside healthcare payer clients to analyze their data and print fulfillment needs,...


  • Eaton Rapids, Michigan, United States Eaton Rapids Medical Center Full time

    Eaton Rapids Medical Center is seeking a skilled Medical Enrollment Specialist to join our team. As a key member of our enrollment team, you will be responsible for ensuring that all providers are properly enrolled with insurance companies to receive timely payment for services provided. This includes processing paper and electronic applications, verifying...


  • Miami, FL , USA, United States Public Health Trust of Dade Co Full time

    Job SummaryWe are seeking a highly skilled Enrollment Specialist to join our team at the Public Health Trust of Dade Co. As an Enrollment Specialist, you will play a critical role in ensuring that patients receive the financial assistance they need to access quality healthcare services.Key ResponsibilitiesAssess patients' financial eligibility for Medicaid,...


  • Boston, MA , USA, United States Element Care Full time

    Job SummaryElement Care is seeking a highly skilled Clinical Enrollment Specialist to join our team. As a key member of our enrollment team, you will play a vital role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants and ensure census goals are achieved.Key...


  • Grand Rapids, Michigan, United States Mary Free Bed Rehabilitation Hospital Full time

    Job SummaryWe are seeking a highly skilled Denial Prevention Specialist to join our team at Mary Free Bed Rehabilitation Hospital. As a key member of our Revenue Cycle Management department, you will play a critical role in optimizing reimbursement and reducing bad debt.Key ResponsibilitiesConduct thorough analysis of denial trends to identify areas for...


  • Miami, FL , USA, United States Miami Jewish Health Full time

    Job Title: Enrollment CoordinatorMiami Jewish Health is a leading provider of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as a health plan, healthcare provider, and social center designed for older adults...

  • Enrollment Specialist

    2 weeks ago


    Tampa, FL , USA, United States Chapter Full time

    About the RoleAs an Enrollment Advisor at Chapter, you will play a pivotal role in ensuring seamless enrollment of our prospective members. You will work closely with our Medicare Advisory team to handle a variety of tasks from processing enrollment requests to maintaining accurate member data.Key Responsibilities:Enrollment Processing: Prepare, process, and...

  • Referral Coordinator

    5 hours ago


    Grand Rapids, Michigan, United States Trinity Health Full time

    Job SummaryWe are seeking a highly skilled Referral Coordinator to join our team at Trinity Health. As a Referral Coordinator, you will play a critical role in maintaining, confirming, and coordinating referrals, authorizations, and pre-certifications for referrals and diagnostic testing.Key ResponsibilitiesMaintain and track referrals from beginning to end,...


  • Miami, FL , USA, United States Miami Jewish Health Full time

    Job Title: Enrollment CoordinatorMiami Jewish Health is a leading provider of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as a health plan, healthcare provider, and social center designed for older adults...


  • Boston, MA , USA, United States Element Care Full time

    Job SummaryWe are seeking a skilled and compassionate Geriatric Healthcare Enrollment Specialist to join our team at Element Care. As a key member of our enrollment team, you will play a vital role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants.Key ResponsibilitiesConduct...


  • Tampa, FL , USA, United States Chapter Full time

    {"About Chapter": "At Chapter, we're on a mission to revolutionize the way Americans navigate and experience retirement. Our industry-leading technology helps seniors sign up, choose an insurance plan, and leverage their plan after enrollment. We're committed to delivering top-notch service to our members.", "The Role": "As an Enrollment Advisor, you'll play...


  • Grand Rapids, MI , USA, United States OneOncology Full time

    Job Title: Patient Access SpecialistOneOncology is a leading provider of cancer care services, and we are seeking a highly skilled Patient Access Specialist to join our team. As a Patient Access Specialist, you will play a critical role in ensuring that our patients receive the highest quality care in a timely and efficient manner.Key Responsibilities:Manage...

  • Referral Coordinator

    2 weeks ago


    Grand Rapids, Michigan, United States Trinity Health Full time

    Job SummaryThe Referral Coordinator plays a vital role in ensuring seamless patient care by maintaining, confirming, and coordinating referrals, authorizations, and pre-certifications for diagnostic testing. This position requires strong communication and organizational skills to verify patient demographics, insurance providers, and payers on outgoing and...