Provider Enrollment Specialist I

Easter Seals Blake Foundation

Remote (United States) Remote Full-time 9 days ago
Workplace
Remote
Location
United States
Who can apply
Remote for people based in the United States

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About the role

Easterseals MORC is hiring for a Registered Nurse - Intake Care Coordinator to help make a difference and become part of something bigger than yourself!

We are looking for Game Changers!

The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.

Benefits of Being a Superhero!

Benefits:

* Low-cost Dental/Health/Vision insurance * Dependent care reimbursement, and up to 5 days paid FMLA for maternity, paternity, foster care and adoption. * Generous 401K retirement plan * Paid Leave Options Available * Up to $125 bonus for taking 5 days off in a row. * 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off) * Wellness Programs * We are a PSLF (Public Service Loan Forgiveness) Employer. * We provide bonuses and extra incentives to reward hard work & dedication. * Mileage reimbursement in accordance with IRS rate. * Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi. * Student loan repayment options * Pet Insurance

Qualifications:

* High School diploma or equivilent * Two years of experience in clinic, business, or medical staff office experience preferred * One year of Provider Enrollment experience preferred

Duties and Responsibilities:

The Provider Enrollment Specialist I supports provider enrollment and recertification activities to ensure timely billing and uninterrupted payer participation. This role manages CHAMPS/Medicaid enrollments and recertifications, coordinates commercial payer re-certifications, maintains accurate provider records, and ensures required documentation is reviewed and uploaded to support credentialing functions. Working within established procedures, the position monitors timelines, performs routine follow-up with providers and payers, and escalates complex issues as appropriate to maintain compliance and operational efficiency

* Facilitates CHAMPS and Medicaid provider enrollments to support timely billing and reimbursement processes. * Completes Medicaid and CHAMPS re-certifications in accordance with state requirements and established timelines. * Manages commercial payer re-certifications, ensuring required documentation is obtained and submitted in a timely manner.

Originally posted on Himalayas

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