System Payer Enrollment Specialist - Access Center

System Payer Enrollment Specialist - Access Center

5 days ago Be among the first 25 applicants

Location:

This is a remote position

Schedule:

40 Hours Weekly - Monday - Friday - 8AM - 5PM

More Than Just Care, It’s Community

Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award‑winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about – fresh water lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures – you might just be Munson Material.

To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country.

• Grow:
  Tuition reimbursement, in‑person and online development, and access to our career hub to help you advance.
• Thrive:
  Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.
• Be Well:
  Free wellness platform for you and your family, plus personalized support for personal or family challenges.
• Be Heard:
  Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings.

• Acts as key point of contact for the processing of enrollment applications for all providers entering the Munson Healthcare System, as well as all practice/location additions in an accurate, professional, timely manner and according to standards set by each health plan.
• Works with System Credentialing and local medical staff contacts, as well as ambulatory practice staff and leadership to ensure accurate, complete and timely provider enrollment with all payers and sites.
• Responsible for completing the ongoing review and attestation of all Munson Healthcare provider enrollment records of all information garnered through investigation and follow‑up processes, maintaining HIPAA and regulatory compliance, while adhering to Joint Commission standards, CMS guidelines, and other regulatory bodies at all times.

• Bachelor’s degree in health‑related field required, or equivalent experience.
• Two years’ experience in payer enrollment, medical staff/physician services, hospital credentialing, or related field preferred.
• Two years of medical billing experience with an understanding of Medicare, Medicaid, Health Maintenance Organizations and commercial insurance plans preferred.
• Demonstrated working knowledge of Joint Commission standards, Medicare Conditions of Participation and other regulatory requirements with regard to compliance and health plan enrollment.

Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.