What are the responsibilities and job description for the Provider Enrollment Specialist I position at Easterseals MORC Logo?
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.
Salary : $125