Provider Enrollment & Credentialing Specialist

Henry-Ford-Health-2; Bingham Farms (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

Henry Ford Health in Detroit seeks a Provider Enrollment Specialist to manage the full enrollment lifecycle for qualified practitioners across government programs and commercial plans. You will guide applications from submission to directory inclusion and continuous updates, ensuring accuracy and compliance.

You will document health plan activities, verify required materials, and serve as a liaison between payers, clinics, and providers while upholding privacy standards and performance targets.

Qualifications

• High school diploma required; associate degree preferred.
• 2-5 years of provider enrollment, provider billing or credentialing experience required.
• Ability to work in a fast-paced environment with deadlines and multitasking.
• Excellent verbal and written communication skills.
• Proficient in data entry, documentation, and adherence to payer standards.

Responsibilities

• Drive the provider enrollment process from application receipt through directory inclusion, managing initial enrollment, re-credentialing, and revalidation.
• Execute comprehensive data entry to maintain enrollment database integrity.
• Verify required documentation and materials to ensure compliant submissions.
• Issue welcome, denial, or termination letters and communicate clearly with stakeholders.
• Document health plan activities and maintain an audit-ready record.

Skills

Data entry

Analytical skills

Communication

Multitasking

Education

High School Diploma

Associate’s Degree preferred

Tools

EPIC

Morrisey

Webdenis

CHAMPS

PECOS

CAQH

Microsoft Office

Job description

Henry Ford Health in Detroit seeks a Provider Enrollment Specialist to manage the full enrollment lifecycle for qualified practitioners across government programs and commercial plans. You will guide applications from submission to directory inclusion and continuous updates, ensuring accuracy and compliance.

You will document health plan activities, verify required materials, and serve as a liaison between payers, clinics, and providers while upholding privacy standards and performance targets.