Provider Enrollment Representative - Remote

Overview

The Provider Enrollment Representative is responsible for the timely enrollment of new providers with payors and maintaining existing provider information, ensuring compliance with regulations and payor requirements.

In Short

• Ensure timely enrollment of new providers and facility sites.
• Maintain existing provider and facility site information.
• Gather and monitor accurate information for provider directories.
• Follow up with payors for updates and billing information.
• Maintain supporting documentation for applications.
• Notify payors of practitioner practice changes.
• Resolve enrollment-related denials and inquiries.
• Stay updated on changes in managed care requirements.
• Attend site-planning meetings for setup and updates.
• Complete work within compliance standards and time limits.

Requirements

• High school diploma or equivalent preferred.
• Previous experience in billing, credentialing, or provider enrollment preferred.
• General computer skills, especially with Microsoft products.
• Ability to comply with strict departmental standards.
• Strong communication skills for internal and external inquiries.

Benefits

• Development and advancement opportunities within a large health system.
• Work within a supportive and dedicated team environment.
• Comprehensive health care and insurance options.
• Opportunities for involvement in health and healing initiatives.