Provider Enrollment Specialist

GetixHealth • Grandville, MI

4d • Remote

About The Position

GetixHealth is seeking a Provider Enrollment Specialist to support provider credentialing and recredentialing of applications, monitors application and follow-up as needed to facilitate enrollment for Hospital and/ or Physicians. You would need to be familiar with Provider Enrollment requirements, Medicare and Medicaid portals, and have the ability to work independently.

Requirements

• High School Diploma or GED (or equivalent experience) required
• Familiarity with CAQH and provider enrollment processes
• Strong attention to detail with the ability to research and analyze data
• Proficiency in Microsoft Office and computer systems
• Excellent communication and organizational skills
• Ability to work independently and manage multiple tasks in a fast-paced environment
• Ability to maintain a high level of confidentiality

Nice To Haves

• Previous experience in provider enrollment, credentialing, or insurance/medical billing preferred

Responsibilities

• Complete provider credentialing and recredentialing applications accurately and timely
• Monitor application status and follow up with payers to ensure timely enrollment
• Maintain and update provider data and credentialing records
• Collect and maintain required documentation (licenses, DEA, malpractice, etc.)
• Work within CAQH and payer portals to support enrollment processes
• Communicate effectively with providers and insurance payers
• Ensure compliance with all federal, state, and regulatory requirements
• Maintain strict confidentiality of provider information
• Identify process gaps and provide feedback and recommendations for improvement
• Perform additional duties as assigned

Benefits

• Medical, dental, and vision plans available starting after 60 days of full-time employment.
• Basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
• Eligible to participate in the company’s 401(k) plan after 6 months of continuous service.
• Start accruing PTO from your very first day of employment.
• Customize your benefits package to fit your personal and family needs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED