The Provider Enrollment Specialist maintains excellent relations and is the main liaison between ... Associate's Degree preferred. • 2-5 years of provider enrollment provider billing or ...
New
The Provider Enrollment Specialist maintains excellent relations and is the main liaison between ... Associate's Degree preferred. • 2-5 years of provider enrollment provider billing or ...
New
PR and Communications Specialist
Byron Center, MI · On-site
$48K - $64K/yr
Provide thoughtful partnership and lead creative PR and social media campaigns that drive awareness ... The associate is frequently required to sit/stand/walk. While performing the duties of this ...
PR and Communications Specialist
Byron Center, MI · On-site
$48K - $64K/yr
Provide thoughtful partnership and lead creative PR and social media campaigns that drive awareness ... The associate is frequently required to sit/stand/walk. While performing the duties of this ...
Development Associate
Grand Rapids, MI · On-site
Development Associate Department & Division : Advancement & Administration Reports To: Director of ... Provide administrative and operational support to the Director of Corporate Relations & Events in ...
New
Development Associate
Grand Rapids, MI · On-site
Development Associate Department & Division : Advancement & Administration Reports To: Director of ... Provide administrative and operational support to the Director of Corporate Relations & Events in ...
New
PR and Communications Specialist
Byron Center, MI · On-site
$48K - $64K/yr
Provide thoughtful partnership and lead creative PR and social media campaigns that drive awareness ... The associate is frequently required to sit/stand/walk. While performing the duties of this ...
PR and Communications Specialist
Byron Center, MI · On-site
$48K - $64K/yr
Provide thoughtful partnership and lead creative PR and social media campaigns that drive awareness ... The associate is frequently required to sit/stand/walk. While performing the duties of this ...
Account Associate - State Farm Agent Team Member
Bay City, MI · On-site
$40K - $60K/yr
... relations. You improve the lives of our customers by proactively marketing relevant products and ... Provide prompt, accurate, and friendly customer service. Service can include responding to ...
Quick apply
Account Associate - State Farm Agent Team Member
Bay City, MI · On-site
$40K - $60K/yr
... relations. You improve the lives of our customers by proactively marketing relevant products and ... Provide prompt, accurate, and friendly customer service. Service can include responding to ...
Packaging Associate - 1st Shift
Kentwood, MI · On-site
$13.75 - $17/hr
Provide backup for the Finishing team in the following areas * Assume Finishing team member role in ... Training on each of the following procedures: Pr-4.2-02, Pr-7.5-02, Pr-7.5-04, Pr-7.6-01, Pr-8.3-01 ...
Packaging Associate - 1st Shift
Kentwood, MI · On-site
$13.75 - $17/hr
Provide backup for the Finishing team in the following areas * Assume Finishing team member role in ... Training on each of the following procedures: Pr-4.2-02, Pr-7.5-02, Pr-7.5-04, Pr-7.6-01, Pr-8.3-01 ...
Packaging Associate - 1st Shift
Kentwood, MI · On-site
$13.75 - $17/hr
Provide backup for the Finishing team in the following areas * Assume Finishing team member role in ... Training on each of the following procedures: Pr-4.2-02, Pr-7.5-02, Pr-7.5-04, Pr-7.6-01, Pr-8.3-01 ...
Packaging Associate - 1st Shift
Kentwood, MI · On-site
$13.75 - $17/hr
Provide backup for the Finishing team in the following areas * Assume Finishing team member role in ... Training on each of the following procedures: Pr-4.2-02, Pr-7.5-02, Pr-7.5-04, Pr-7.6-01, Pr-8.3-01 ...
Provide timely interpretation and guidance on labor policies, Letters of Understanding, and CBA requirements to local Labor Relations and Human Resource professionals across the Company. Proactively ...
Provide timely interpretation and guidance on labor policies, Letters of Understanding, and CBA requirements to local Labor Relations and Human Resource professionals across the Company. Proactively ...
Provide timely interpretation and guidance on labor policies, Letters of Understanding, and CBA requirements to local Labor Relations and Human Resource professionals across the Company. Proactively ...
Provide timely interpretation and guidance on labor policies, Letters of Understanding, and CBA requirements to local Labor Relations and Human Resource professionals across the Company. Proactively ...
Sales Associate
Ann Arbor, MI · On-site
$13.75 - $18.50/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Sales Associate
Ann Arbor, MI · On-site
$13.75 - $18.50/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Overnight Associate
Wayne, MI · On-site
Develop strong vendor relations * Maintain a clean, properly stocked and merchandised store ... The information you provide will be provided directly to the franchisee. You must communicate ...
Overnight Associate
Wayne, MI · On-site
Develop strong vendor relations * Maintain a clean, properly stocked and merchandised store ... The information you provide will be provided directly to the franchisee. You must communicate ...
Develop strong vendor relations * Maintain a clean, properly stocked and merchandised store ... The information you provide will be provided directly to the franchisee. You must communicate ...
Quick apply
Develop strong vendor relations * Maintain a clean, properly stocked and merchandised store ... The information you provide will be provided directly to the franchisee. You must communicate ...
Overnight Associate
Wayne, MI · On-site
Develop strong vendor relations * Maintain a clean, properly stocked and merchandised store ... The information you provide will be provided directly to the franchisee.You must communicate ...
Overnight Associate
Wayne, MI · On-site
Develop strong vendor relations * Maintain a clean, properly stocked and merchandised store ... The information you provide will be provided directly to the franchisee.You must communicate ...
Part-Time Thrift Store Associate
Marquette, MI · On-site
$14.75 - $17/hr
Build positive donor relations by providing information regarding use of donations * Actively support a team environment among store associates * Attend and participate in staff meetings and other ...
New
Part-Time Thrift Store Associate
Marquette, MI · On-site
$14.75 - $17/hr
Build positive donor relations by providing information regarding use of donations * Actively support a team environment among store associates * Attend and participate in staff meetings and other ...
New
Client Service Associate
Bloomfield, MI · On-site
$60K - $75K/yr
The client service associate is a critical part of the Mariner Wealth Advisors team, responsible ... Positive attitude toward client relations to provide exceptional, proactive client service
Client Service Associate
Bloomfield, MI · On-site
$60K - $75K/yr
The client service associate is a critical part of the Mariner Wealth Advisors team, responsible ... Positive attitude toward client relations to provide exceptional, proactive client service
Sales Associate
Birch Run, MI · On-site
$11.25 - $15.50/hr
Provide a Great Customer Experience Deliver on all aspects of the customer experience model ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Sales Associate
Birch Run, MI · On-site
$11.25 - $15.50/hr
Provide a Great Customer Experience Deliver on all aspects of the customer experience model ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Sales Associate
Novi, MI · On-site
$13.25 - $18/hr
Provide a Great Customer Experience Deliver on all aspects of the customer experience model ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Sales Associate
Novi, MI · On-site
$13.25 - $18/hr
Provide a Great Customer Experience Deliver on all aspects of the customer experience model ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Sales Associate
Clinton Township, MI · On-site
$13.75 - $18.75/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Sales Associate
Clinton Township, MI · On-site
$13.75 - $18.75/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Sales Associate
Birch Run, MI · On-site
$11.25 - $15.50/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Sales Associate
Birch Run, MI · On-site
$11.25 - $15.50/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
$12.75 - $17.25/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
$12.75 - $17.25/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Relations' or send an e-mail to AssociateRelations@Express.com and let us know the nature of your ...
Provider Relations Associate information
What are Provider Relations Associates?
Provider Relations Associates are professionals who serve as the primary point of contact between healthcare providers (such as doctors and hospitals) and insurance companies or healthcare organizations. Their main responsibilities include maintaining positive relationships with providers, addressing concerns or issues, educating providers about policies and procedures, and ensuring compliance with contracts. They play a key role in facilitating communication and resolving any disputes to ensure efficient healthcare delivery and satisfaction on both sides.
What are the main challenges Provider Relations Associates face when working with healthcare providers?
Provider Relations Associates often navigate complex communication channels between healthcare providers and insurance companies. One common challenge is addressing concerns or resolving issues related to provider contracts, reimbursement, and compliance with policies. Balancing the needs of providers with organizational guidelines requires strong negotiation and problem-solving skills. Additionally, maintaining positive relationships while handling high volumes of inquiries and ensuring accurate documentation can make the role fast-paced and demanding, but also rewarding for those who enjoy dynamic, collaborative environments.
What are the key skills and qualifications needed to thrive as a Provider Relations Associate, and why are they important?
To thrive as a Provider Relations Associate, you need a solid understanding of healthcare administration, contract management, and provider network operations, usually supported by a bachelor's degree in a related field. Familiarity with healthcare management systems, claims processing platforms, and proficiency in Microsoft Office Suite are commonly required. Strong interpersonal communication, negotiation, and problem-solving abilities are vital soft skills for building and maintaining positive relationships with healthcare providers. These competencies ensure effective collaboration, resolve issues efficiently, and support the overall performance of the provider network.
What is the difference between Provider Relations Associate vs Provider Relations Coordinator?
| Aspect | Provider Relations Associate | Provider Relations Coordinator |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles prefer healthcare or customer service experience | High school diploma; healthcare or administrative experience often preferred |
| Work Environment | Office setting, healthcare organizations, insurance companies | Office environment, healthcare facilities, insurance providers |
| Employer & Industry Usage | Healthcare insurers, provider networks, managed care organizations | Healthcare insurers, provider networks, healthcare administration |
| Common Search & Comparison Intent | Yes | Yes |
The Provider Relations Associate and Provider Relations Coordinator roles share similarities in work environment and industry usage, often involving communication with healthcare providers and supporting network relations. The main differences lie in responsibilities: associates typically handle basic provider inquiries and data entry, while coordinators may oversee provider onboarding and relationship management. Both roles require similar credentials and are vital in healthcare administration, making them common points of comparison for job seekers in this field.
What are the most commonly searched types of Provider Relations jobs in Michigan? The most popular types of Provider Relations jobs in Michigan are:
What cities in Michigan are hiring for Provider Relations Associate jobs? Cities in Michigan with the most Provider Relations Associate job openings:
Full-time
This job post has expired today. Applications are no longer accepted.
Henry Ford Health rating
7.0
Based on 551 frontline employees who took The Breakroom Quiz
413th of 884 rated healthcare providers
Job description
GENERAL SUMMARY:
Under general supervision, responsible for all functions relating to ensuring that all appropriate practitioners are enrolled in government programs and commercial health plans. Primary responsibilities include taking a new provider application from receipt to inclusion in directory and making ongoing updates. Responsibilities include data entry, data collection, analysis of information collected for appropriate enrollment.
The Provider Enrollment Specialist must be knowledgeable to work in all aspects of the insurance provider enrollment process including initial enrollment, re-credentialing or revalidation. Provider Enrollment Specialist ensures providers are enrolled in accordance with current standards and regulations and must maintain stringent compliance with payers. The Provider Enrollment Specialist maintains excellent relations and is the main liaison between payers, clinics, and providers to assure participation status is managed in a timely and accurate manner.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
• Responsible for comprehensive and precise data entry for maintaining the accuracy of the enrollment database.
• Responsible for following department database standards for the documentation of all health plans and products, documents, and notes on incoming and outgoing attempts to obtain information and follow up conversations.
• In depth working knowledge of various payor applications associated with the workflow process, i.e., Webdenis, CHAMPS, PECOS, CAQH.
• Follows the Network Management workflow process in real time meeting required turnaround times and accuracy rates.
• Verifies all required information and obtains necessary documents to ensure providers are processed according to current policies and procedure and ensure all files have a welcome, denial, or term letter, as appropriate.
• Facilitates research and resolves denied claims & enrollment issues.
• Possesses in depth knowledge of health plan standards and department operating procedures and effectively communicates issues, trends, concerns among team members and interdepartmental customers.
• Communicates with internal and external customers in a clear, concise and professional manner to obtain or provide necessary information.
• Organize and maintain practitioner files following confidentiality guidelines.
• Participates in system integration and continuing quality improvement efforts.
• Provides support and problem solving to Department Director in the development of short and long-range plans for the department, assuring overall continuity of the corporate strategic.
EDUCATION/EXPERIENCE REQUIRED:
• High School Diploma required. Associate's Degree preferred.
• 2-5 years of provider enrollment provider billing or credentialing experience required.
• High level of energy to work in a fast paced constantly changing environment often including time deadlines, frequent interruptions, multiple demands and multi-tasking.
• Ability to work under minimal supervision.
• Ability to perform detail work efficiently and with a high degree of accuracy.
• High organized.
• Strong business acumen.
• Excellent verbal and written communication skills.
• Ability to interpret information and make judgments quickly.
• Ability to interact professionally with practitioners and other external customers Strong quantitative and analytical skills.
• Computer proficient in Microsoft Office including: Outlook, Word and Excel. Proficient in EPIC, Morrisey.
CERTIFICATIONS/LICENSURES REQUIRED: None
WORK ENVIRONMENT:
• Works in a normal office environment where there is no physical discomfort due to temperature, dust, noise, and the like.
• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Under general supervision, responsible for all functions relating to ensuring that all appropriate practitioners are enrolled in government programs and commercial health plans. Primary responsibilities include taking a new provider application from receipt to inclusion in directory and making ongoing updates. Responsibilities include data entry, data collection, analysis of information collected for appropriate enrollment.
The Provider Enrollment Specialist must be knowledgeable to work in all aspects of the insurance provider enrollment process including initial enrollment, re-credentialing or revalidation. Provider Enrollment Specialist ensures providers are enrolled in accordance with current standards and regulations and must maintain stringent compliance with payers. The Provider Enrollment Specialist maintains excellent relations and is the main liaison between payers, clinics, and providers to assure participation status is managed in a timely and accurate manner.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
• Responsible for comprehensive and precise data entry for maintaining the accuracy of the enrollment database.
• Responsible for following department database standards for the documentation of all health plans and products, documents, and notes on incoming and outgoing attempts to obtain information and follow up conversations.
• In depth working knowledge of various payor applications associated with the workflow process, i.e., Webdenis, CHAMPS, PECOS, CAQH.
• Follows the Network Management workflow process in real time meeting required turnaround times and accuracy rates.
• Verifies all required information and obtains necessary documents to ensure providers are processed according to current policies and procedure and ensure all files have a welcome, denial, or term letter, as appropriate.
• Facilitates research and resolves denied claims & enrollment issues.
• Possesses in depth knowledge of health plan standards and department operating procedures and effectively communicates issues, trends, concerns among team members and interdepartmental customers.
• Communicates with internal and external customers in a clear, concise and professional manner to obtain or provide necessary information.
• Organize and maintain practitioner files following confidentiality guidelines.
• Participates in system integration and continuing quality improvement efforts.
• Provides support and problem solving to Department Director in the development of short and long-range plans for the department, assuring overall continuity of the corporate strategic.
EDUCATION/EXPERIENCE REQUIRED:
• High School Diploma required. Associate's Degree preferred.
• 2-5 years of provider enrollment provider billing or credentialing experience required.
• High level of energy to work in a fast paced constantly changing environment often including time deadlines, frequent interruptions, multiple demands and multi-tasking.
• Ability to work under minimal supervision.
• Ability to perform detail work efficiently and with a high degree of accuracy.
• High organized.
• Strong business acumen.
• Excellent verbal and written communication skills.
• Ability to interpret information and make judgments quickly.
• Ability to interact professionally with practitioners and other external customers Strong quantitative and analytical skills.
• Computer proficient in Microsoft Office including: Outlook, Word and Excel. Proficient in EPIC, Morrisey.
CERTIFICATIONS/LICENSURES REQUIRED: None
WORK ENVIRONMENT:
• Works in a normal office environment where there is no physical discomfort due to temperature, dust, noise, and the like.
• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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About Henry Ford Health
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Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Detroit, MI, US
Year founded
1915