The Care Team Home Health
Credentialing, Contracting & Enrollment Specialist (34248)
The Care Team Home Health, Farmington Hills, Michigan, United States
At
The Care Team Hospice , compassionate patient care depends on strong compliance and trusted provider partnerships. We're seeking a highly organized and experienced
Credentialing, Contracting, & Enrollment Specialist
to manage the critical processes that keep our hospice agencies-and our Nurse Practitioner and MD/DO palliative care providers-fully accredited, enrolled, and authorized for reimbursement.
This role is perfect for a revenue-cycle professional who understands the complexities of healthcare credentialing and contracting and wants to apply those skills in a growing, mission-driven hospice organization.
What You'll Do
As the Credentialing, Contracting, & Enrollment Specialist, you will:
Manage Provider Enrollment & Maintenance:
Prepare, submit, and maintain initial and recredentialing documentation for all agency providers, including verification of medical degrees, licenses, training, and certifications Oversee Billing Enrollments:
Submit and track 837, 835, EFT, and related payer enrollments for all entities, ensuring timely re-enrollments and updates Negotiate and Manage Contracts:
Review and pursue contractual agreements with commercial payers, Medicaid MCO plans, and specialty payors when rates and requirements align with The Care Team's capabilities Monitor Compliance:
Ensure continuous adherence to CMS (Medicare), Medicaid, state regulations, and accrediting body standards such as ACHC, CHAP, or The Joint Commission Maintain Organized Records:
Create and manage a centralized, accurate repository of all licensing, credentialing, and contracting documents Support Market Growth:
Participate in market analysis initiatives to evaluate new payer opportunities and help expand services to reach new patient populations Collaborate with clinical leadership, billing, and external partners to ensure all requirements are met and maintained Your work ensures our providers and facilities remain compliant and positioned for maximum reimbursement-directly supporting the stability and growth of hospice and palliative services.
You're a detail-oriented professional who thrives on process management and strategic problem-solving.
Required Skills & Qualifications
Previous experience in credentialing, provider enrollment, or managed care contracting At least 5 years of hands-on experience in contracting/credentialing/enrollment duties or a degree in business or healthcare administration with 1+ years relevant experience Strong understanding of: CMS Medicare regulations State Medicaid and Medicaid MCO requirements Provider credentialing standards Healthcare contract negotiation principles
Excellent organizational, documentation, and time-management skills High attention to detail with strong critical thinking and problem-solving ability Ability to work both independently and collaboratively Professional certifications preferred but not required Preferred Experience
Hospice credentialing or palliative-care provider enrollment experience Familiarity with accreditation processes and audits Experience working with payer portals and EMR/billing system integrations Field & Employment Requirements
Ability to pass a criminal background check Reliable transportation and valid driver's license (if travel is required for payer or credentialing meetings) Why Join Us?
The Care Team Hospice offers a supportive environment where your professional skills make a real difference.
Competitive pay Comprehensive medical, dental, and vision benefits 401(k) with employer match Paid time off and paid holidays Mileage reimbursement per company policy Tuition reimbursement and opportunities for career growth Strong leadership and interdisciplinary support
If this role speaks to you, we encourage you to apply. At The Care Team Hospice, we value diversity, inclusivity, and the unique experiences each person brings to our mission. We are committed to equal opportunity and will gladly provide reasonable accommodations throughout the hiring process. If you meet the qualifications for this role-or any other position we have open-our recruiting team will reach out. We can't wait to learn more about you!
The Care Team Hospice , compassionate patient care depends on strong compliance and trusted provider partnerships. We're seeking a highly organized and experienced
Credentialing, Contracting, & Enrollment Specialist
to manage the critical processes that keep our hospice agencies-and our Nurse Practitioner and MD/DO palliative care providers-fully accredited, enrolled, and authorized for reimbursement.
This role is perfect for a revenue-cycle professional who understands the complexities of healthcare credentialing and contracting and wants to apply those skills in a growing, mission-driven hospice organization.
What You'll Do
As the Credentialing, Contracting, & Enrollment Specialist, you will:
Manage Provider Enrollment & Maintenance:
Prepare, submit, and maintain initial and recredentialing documentation for all agency providers, including verification of medical degrees, licenses, training, and certifications Oversee Billing Enrollments:
Submit and track 837, 835, EFT, and related payer enrollments for all entities, ensuring timely re-enrollments and updates Negotiate and Manage Contracts:
Review and pursue contractual agreements with commercial payers, Medicaid MCO plans, and specialty payors when rates and requirements align with The Care Team's capabilities Monitor Compliance:
Ensure continuous adherence to CMS (Medicare), Medicaid, state regulations, and accrediting body standards such as ACHC, CHAP, or The Joint Commission Maintain Organized Records:
Create and manage a centralized, accurate repository of all licensing, credentialing, and contracting documents Support Market Growth:
Participate in market analysis initiatives to evaluate new payer opportunities and help expand services to reach new patient populations Collaborate with clinical leadership, billing, and external partners to ensure all requirements are met and maintained Your work ensures our providers and facilities remain compliant and positioned for maximum reimbursement-directly supporting the stability and growth of hospice and palliative services.
You're a detail-oriented professional who thrives on process management and strategic problem-solving.
Required Skills & Qualifications
Previous experience in credentialing, provider enrollment, or managed care contracting At least 5 years of hands-on experience in contracting/credentialing/enrollment duties or a degree in business or healthcare administration with 1+ years relevant experience Strong understanding of: CMS Medicare regulations State Medicaid and Medicaid MCO requirements Provider credentialing standards Healthcare contract negotiation principles
Excellent organizational, documentation, and time-management skills High attention to detail with strong critical thinking and problem-solving ability Ability to work both independently and collaboratively Professional certifications preferred but not required Preferred Experience
Hospice credentialing or palliative-care provider enrollment experience Familiarity with accreditation processes and audits Experience working with payer portals and EMR/billing system integrations Field & Employment Requirements
Ability to pass a criminal background check Reliable transportation and valid driver's license (if travel is required for payer or credentialing meetings) Why Join Us?
The Care Team Hospice offers a supportive environment where your professional skills make a real difference.
Competitive pay Comprehensive medical, dental, and vision benefits 401(k) with employer match Paid time off and paid holidays Mileage reimbursement per company policy Tuition reimbursement and opportunities for career growth Strong leadership and interdisciplinary support
If this role speaks to you, we encourage you to apply. At The Care Team Hospice, we value diversity, inclusivity, and the unique experiences each person brings to our mission. We are committed to equal opportunity and will gladly provide reasonable accommodations throughout the hiring process. If you meet the qualifications for this role-or any other position we have open-our recruiting team will reach out. We can't wait to learn more about you!