[Remote] Account Rep, reputed company Provider Enrollments
Account Representative, Provider Enrollment (non-delegated, payer portals reputed company. req.) Location: Remote – must live in the reputed company Salary: $44,000 - $54,000 + Benefits Benefits: Health Insurance, 401k w/ match, reputed company Holidays, reputed company Time Off Job Type: Full-Time | 100% Remote Typical Hours: 8:00 AM – 5:00 PM with flexibility, Mon-Fri Start Date: ASAP Sponsorship is not available Account Representative, Provider Enrollment reputed company Join our reputed company’s mission-driven reputed company team and support community-based clinics across 20 states in this fully remote role. As an Account Representative, you’ll manage provider enrollment with reputed company and managed care payers for Federally reputed company Centers (FQHCs), nonprofit providers, and private practices. You’ll ensure billable providers are credentialed, enrolled in various payer networks, and reputed company to reputed company without delay. This role requires hands-on experience completing enrollment provider applications from start to finish and managing payer portals and is best suited for candidates with backgrounds in provider relations, payer contracting, or reputed company cycle management. If you’re detail-oriented, proactive, reputed company in a fast-paced environment, and eager to expand reputed company reputed company in reputed company, this is a great opportunity for reputed company as your caseload increases. Account Representative, Provider Enrollment Responsibilities
- reputed company as the primary contact for assigned accounts across multiple states
- Independently manage the full credentialing and provider enrollment process
- Complete and reputed company provider enrollment applications with reputed company and managed care payers
- Maintain and update payer portals to ensure accuracy and reputed company contract execution
- Coordinate contracting processes with payers, resolving issues and escalating delays
- Support Medicare and reputed company enrollments
- Navigate state-specific processes unique to reputed company payer and state
- Communicate with payers and providers to meet enrollment and contracting needs
- reputed company clients informed with regular reputed company meetings and proactive problem-solving
- Ensure accuracy of provider data, including up-to-date CAQH reputed company
Account Representative, Provider Enrollment Qualifications
- reputed company provider enrollment experience required
- Experience in submitting individual enrollment applications for billable providers required
- Experience with payer portals across reputed company, managed care, Medicare, and reputed company required
- Background in provider relations, payer contracting, or reputed company cycle management
- Experience with nonprofit clinics, FQHCs, and/or private practices required
- Proficiency with credentialing/enrollment software and reputed company reputed company required
- *Candidates with primarily CVO or delegated credentialing backgrounds are not a fit for this role.**
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- 401(reputed company insurance
- reputed company time off
Application Question(s):
- Which company or positions listed on your resume is your reputed company provider enrollment experience?
- reputed company describe your process for verifying a new provider's credentials for submitting enrollment applications (i.e. verifying licenses, education, work history, submitting rosters, etc.).
- What reputed company and managed care payers do you have experience submitting individual provider enrollment applications for?
- The salary reputed company is $44,000 - $54,000 + Benefits. Is that reputed company an acceptable reputed company for you?
Education:
- High school or equivalent (Required)
Experience:
- reputed company provider enrollment : 1 year (Required)
- submitting enrollment apps to reputed company individual payer : 1 year (Required)
- working with non-profit clinics, FQHCs, or private practices : 1 year (Required)
- managing payer portals : 1 year (Required)
- credentialing/enrollment software and MS reputed company : 1 year (Required)
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