Strategic Healthcare Credentialing & Enrollment Specialist

Sustainable World, Inc.; Lansing (MI); On-site; USD 52,000 - 68,000; Full time

Job summary

Sustainable World, Inc. seeks a Credentialing & Enrollment Specialist to support strategies and services that improve health center revenue cycle operations and financial sustainability.

You will work with health center staff and payer contacts to credential, enroll, and resolve enrollment issues while maintaining thorough documentation. You will promote engagement through trainings, technical assistance, and support for enrollment and credentialing activities, staying current on policy changes

Qualifications

• 3 years of professional experience working in revenue cycle, enrollment, credentialing, or other related work area in an outpatient healthcare setting required
• FQHC enrollment experience preferred; bachelor's degree preferred
• Must reside in the State of Michigan

Responsibilities

• Works directly with health center staff to ensure efficient and accurate provider insurance credentialing and enrollment.
• Promotes health center engagement in services, trainings, peer learning, and other efforts which support efficient enrollment and credentialing and related activities.
• Other duties, as required.

Skills

Provider enrollment

Credentialing

CAQH updates

NPI updates

Privileging processes

Payer knowledge

Customer service

Relationship building

Communication

Education

Bachelor's degree preferred

FQHC enrollment experience preferred

Job description

Sustainable World, Inc. seeks a Credentialing & Enrollment Specialist to support strategies and services that improve health center revenue cycle operations and financial sustainability.

You will work with health center staff and payer contacts to credential, enroll, and resolve enrollment issues while maintaining thorough documentation. You will promote engagement through trainings, technical assistance, and support for enrollment and credentialing activities, staying current on policy changes