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Provider Enrollment Specialist I
Easterseals MORC. Support provider enrollment and recertification activities to ensure timely billing and uninterrupted payer participation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider enrollment and recertification processes, ensuring compliance with Medicaid and commercial payer requirements while maintaining accurate provider records and documentation.
Highest-signal resume keywords
Provider Enrollment ExperienceMedicaid Enrollment ManagementCHAMPS Enrollment CoordinationDocumentation Review and SubmissionTimelines Monitoring
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider EnrollmentRecertification ManagementDocumentation UploadCredentialing FunctionsBilling Support
Soft Skills
CommunicationProblem-SolvingFollow-Up
Tools & Technologies
CHAMPSMedicaid
Industry Keywords
Payer ParticipationProvider Records ManagementCommercial Payer Coordination
About the role
Key responsibilities & impact- Support provider enrollment and recertification activities to ensure timely billing and uninterrupted payer participation
- Manage CHAMPS/Medicaid enrollments and recertifications
- Coordinate commercial payer re-certifications
- Maintain accurate provider records
- Review and upload required documentation to support credentialing functions
- Monitor timelines and perform routine follow-up with providers and payers
- Escalate complex issues as appropriate
- Facilitate CHAMPS and Medicaid provider enrollments
- Complete Medicaid and CHAMPS re-certifications according to state requirements and established timelines
- Manage commercial payer re-certifications and ensure required documentation is obtained and submitted on time
Requirements
What you’ll need- High School diploma or equivalent
- Two years of experience in clinic, business, or medical staff office experience preferred
- One year of Provider Enrollment experience preferred
Benefits
Comp & perks- Low-cost Dental/Health/Vision insurance
- Dependent care reimbursement
- Up to 5 days paid FMLA for maternity, paternity, foster care and adoption
- Generous 401K retirement plan
- Paid Leave Options Available
- Up to $125 bonus for taking 5 days off in a row
- 10 paid holidays and 3 floating holidays (Over 30 days total of paid time off)
- Wellness Programs
- PSLF (Public Service Loan Forgiveness) Employer
- Bonuses and extra incentives to reward hard work & dedication
- Mileage reimbursement in accordance with IRS rate
- Free financial planning services through partnerships with the LoVasco Consulting Group and SoFi
- Student loan repayment options
- Pet Insurance