Provider Enrollment & Credentialing Specialist

Henry Ford Health; Michigan; Hybrid; USD 52,000 - 72,000; Full time

Job summary

Henry Ford Health is seeking a Provider Enrollment Specialist to expertly manage the enrollment lifecycle from initial application through directory inclusion and ongoing updates. The role requires precise data entry, rigorous documentation control, and adherence to payer standards.

You will coordinate with payers, clinics, and providers to resolve enrollment issues, re-credentialing, and revalidation while communicating clearly and maintaining confidentiality.

Qualifications

• High School Diploma required. Associate’s Degree preferred.
• 2-5 years of provider enrollment, provider billing or credentialing experience required.
• Ability to work in a fast-paced, changing environment with deadlines and interruptions.
• Ability to perform detailed work accurately and with high organization.
• Excellent verbal and written communication skills and strong business acumen.

Responsibilities

• Drive provider enrollment from application through directory inclusion and revalidation.
• Execute accurate data entry to maintain enrollment database integrity.
• Verify required documentation to ensure compliant processing per policies.
• Issue welcome, denial, or termination letters and communicate enrollment status effectively.
• Serve as liaison between payers, clinics, and providers to manage participation status.

Skills

Data entry

Analytical skills

Communication

Detail orientation

Multitasking

Education

High School Diploma

Associate’s Degree preferred

Tools

EPIC

Morrisey

Job description

Henry Ford Health is seeking a Provider Enrollment Specialist to expertly manage the enrollment lifecycle from initial application through directory inclusion and ongoing updates. The role requires precise data entry, rigorous documentation control, and adherence to payer standards.

You will coordinate with payers, clinics, and providers to resolve enrollment issues, re-credentialing, and revalidation while communicating clearly and maintaining confidentiality.