Credentialing, Contracting & Enrollment Specialist (34248)

The Care Team Home Health & Hospice•Farmington Hills, MI

13h

About The Position

At The Care Team Hospice, compassionate patient care depends on strong compliance and trusted provider partnerships. We’re seeking a highly organized and experienced Credentialing, Contracting, & Enrollment Specialist to manage the critical processes that keep our hospice agencies—and our Nurse Practitioner and MD/DO palliative care providers—fully accredited, enrolled, and authorized for reimbursement. This role is perfect for a revenue-cycle professional who understands the complexities of healthcare credentialing and contracting and wants to apply those skills in a growing, mission-driven hospice organization. What You’ll Do As the Credentialing, Contracting, & Enrollment Specialist, you will: Manage Provider Enrollment & Maintenance: Prepare, submit, and maintain initial and recredentialing documentation for all agency providers, including verification of medical degrees, licenses, training, and certifications Oversee Billing Enrollments: Submit and track 837, 835, EFT, and related payer enrollments for all entities, ensuring timely re-enrollments and updates Negotiate and Manage Contracts: Review and pursue contractual agreements with commercial payers, Medicaid MCO plans, and specialty payors when rates and requirements align with The Care Team’s capabilities Monitor Compliance: Ensure continuous adherence to CMS (Medicare), Medicaid, state regulations, and accrediting body standards such as ACHC, CHAP, or The Joint Commission Maintain Organized Records: Create and manage a centralized, accurate repository of all licensing, credentialing, and contracting documents Support Market Growth: Participate in market analysis initiatives to evaluate new payer opportunities and help expand services to reach new patient populations Collaborate with clinical leadership, billing, and external partners to ensure all requirements are met and maintained Your work ensures our providers and facilities remain compliant and positioned for maximum reimbursement—directly supporting the stability and growth of hospice and palliative services. What You Bring You’re a detail-oriented professional who thrives on process management and strategic problem-solving.

Requirements

Previous experience in credentialing, provider enrollment, or managed care contracting
At least 5 years of hands-on experience in contracting/credentialing/enrollment duties or a degree in business or healthcare administration with 1+ years relevant experience
Strong understanding of: CMS Medicare regulations State Medicaid and Medicaid MCO requirements Provider credentialing standards Healthcare contract negotiation principles
Excellent organizational, documentation, and time-management skills
High attention to detail with strong critical thinking and problem-solving ability
Ability to work both independently and collaboratively
Ability to pass a criminal background check
Reliable transportation and valid driver’s license (if travel is required for payer or credentialing meetings)

Nice To Haves

Professional certifications preferred but not required
Hospice credentialing or palliative-care provider enrollment experience
Familiarity with accreditation processes and audits
Experience working with payer portals and EMR/billing system integrations

Responsibilities

Manage Provider Enrollment & Maintenance: Prepare, submit, and maintain initial and recredentialing documentation for all agency providers, including verification of medical degrees, licenses, training, and certifications
Oversee Billing Enrollments: Submit and track 837, 835, EFT, and related payer enrollments for all entities, ensuring timely re-enrollments and updates
Negotiate and Manage Contracts: Review and pursue contractual agreements with commercial payers, Medicaid MCO plans, and specialty payors when rates and requirements align with The Care Team’s capabilities
Monitor Compliance: Ensure continuous adherence to CMS (Medicare), Medicaid, state regulations, and accrediting body standards such as ACHC, CHAP, or The Joint Commission
Maintain Organized Records: Create and manage a centralized, accurate repository of all licensing, credentialing, and contracting documents
Support Market Growth: Participate in market analysis initiatives to evaluate new payer opportunities and help expand services to reach new patient populations
Collaborate with clinical leadership, billing, and external partners to ensure all requirements are met and maintained