This non-exempt role will require availability to work in person at the Henry Ford Health Corporate Office at One Ford Place in Detroit.
GENERAL SUMMARY:
Under general supervision, responsible for all functions relating to ensuring that all appropriate practitioners are enrolled in government programs and commercial health plans. Primary responsibilities include taking a new provider application from receipt to inclusion in directory and making ongoing updates. Responsibilities include data entry, data collection, analysis of information collected for appropriate enrollment. The Provider Enrollment Specialist must be knowledgeable to work in all aspects of the insurance provider enrollment process including initial enrollment, re-credentialing or revalidation. Provider Enrollment Specialist ensures providers are enrolled in accordance with current standards and regulations and must maintain stringent compliance with payers. The Provider Enrollment Specialist maintains excellent relations and is the main liaison between payers, clinics, and providers to assure participation status is managed in a timely and accurate manner.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
EDUCATION/EXPERIENCE REQUIRED: