Provider Enrollment Specialist I

Easterseals MORC is hiring for a Registered Nurse - Intake Care Coordinator to help make a difference and become part of something bigger than yourself!

We are looking for Game Changers!

The types of people who wake up excited to make a difference. The superheroes of their field who care about the people they serve. If that sounds like you, we want you on our team.

Benefits of Being a Superhero!

Benefits:

• Low-cost Dental/Health/Vision insurance
• Dependent care reimbursement, and 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
• We are a PSLF (Public Service Loan Forgiveness) Employer.
• We provide bonuses and extra incentives to reward hard work & dedication.
• Mileage reimbursement in accordance with IRS rate.
• Free financial planning services through our partnerships with the LoVasco Consulting Group, and SoFi.
• Student loan repayment options
• Pet Insurance

Qualifications:

• High School diploma or equivilent
• Two years of experience in clinic, business, or medical staff office experience preferred
• One year of Provider Enrollment experience preferred

Duties and Responsibilities:

The Provider Enrollment Specialist I supports provider enrollment and recertification activities to ensure timely billing and uninterrupted payer participation. This role manages CHAMPS/Medicaid enrollments and recertifications, coordinates commercial payer re-certifications, maintains accurate provider records, and ensures required documentation is reviewed and uploaded to support credentialing functions. Working within established procedures, the position monitors timelines, performs routine follow-up with providers and payers, and escalates complex issues as appropriate to maintain compliance and operational efficiency

• Facilitates CHAMPS and Medicaid provider enrollments to support timely billing and reimbursement processes.
• Completes Medicaid and CHAMPS re-certifications in accordance with state requirements and established timelines.
• Manages commercial payer re-certifications, ensuring required documentation is obtained and submitted in a timely manner.