Payer Enrollment Specialist
2 hours ago
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.
- 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.
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Payer Enrollment Specialist
2 weeks ago
Grand Rapids, MI , USA, United States University of Michigan Health-West Full timeAbout 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...
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