Provider Enrollment and Compliance Analyst
SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids, United States
USD 36K-42K (estimate) Mid-level Full Time
Tasks
- Ensure timely filing of enrollment changes updates additions and terminations
- Interpret and apply CMS and Medicaid enrollment regulations
- Maintain enrollment records for facility and hospital NPIs PTANs taxonomies ownership disclosures and practice locations
- Manage CMS Medicare Medicaid and Commercial enrollments for hospitals and facilities
- Monitor enrollment status and address pending expiring or at risk enrollments
- Partner with revenue integrity compliance and operational leaders to resolve enrollment impacts
- Prepare submit and track CMS 855 applications and payer enrollment forms
- Respond to payer CMS or Medicaid inquiries related to enrollment status or documentation
- Standardize facility enrollment workflows and documentation
Perks/Benefits
- Discounts program
- Home and auto insurance
- On-demand pay
- Optional identity theft protection
- Retirement plan match
Skills/Tech-stack
CMS Medicare | Credentialing | Documentation | Healthcare Compliance | Medicaid | NPI | Regulatory Compliance | Revenue Cycle | Revenue cycle operations | Taxonomy
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