Quality Home Care - Your Home, Your Standard of Care
Home Care Credentialing – Provider Enrollment Specialist
Location
Michigan
Posted
1 day ago
Salary
0
Seniority
Mid Level
Job Description
Home Care Credentialing – Provider Enrollment Specialist
Quality Home Care Michigan
• Maintain and update CAQH ProView profiles for all providers. • Complete initial and re-credentialing applications with Medicare, Medicaid, and commercial payers. • Track enrollment status, follow up with payers, and ensure timely approvals. • Maintain credentialing files, audit documentation, and compliance reports. • Collaborate with operations and billing teams to support reimbursement and network participation. • Monitor expiration dates and manage re-credentialing processes. • Act as a liaison between providers, payers, and internal teams to resolve credentialing issues.
Job Requirements
- 2+ years of provider enrollment or healthcare credentialing experience, preferably in non skilled home care in the state of Michigan
- Strong knowledge of CAQH ProView, Medicare PECOS, Medicaid portals, and commercial payer systems.
- Excellent attention to detail, organization, and follow-up skills.
- Ability to manage multiple tasks and meet deadlines.
- Strong verbal and written communication skills.
- Experience with credentialing software or tracking systems is a plus.
- Prior experience with non-skilled home care licensing requirements in the state of Michigan
- Knowledge of provider contracting and network participation.
- Familiarity with auditing credentialing and compliance documentation specifically in the state of Michigan.
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