Provider Enrollment Representative
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Job Description
Provider Enrollment Representative processing and submitting enrollment applications for healthcare providers. Collaborating with providers and Account Managers to resolve claims for insurance reimbursement.
Responsibilities:
- Process provider enrollment applications for providers/groups
- Research insurance provider enrollment requirements by state
- Enter group/individual data to credentialing system
- Prepare and submit provider enrollment applications to insurance carriers
- Follow-up on provider enrollment applications with provider, insurance company or client sites
- Interact with providers via phone or email as needed
- Collaborate with Account Managers to resolve provider denials
- Update/Maintain Provider Enrollment Credentialing System
- Attend conference calls with clients as requested
Requirements:
- Prior word processing, spreadsheet, and internet software experience including proficiency with MS Teams, Word, Excel, Outlook
- Group enrollment, multi-specialty, and multi-state provider enrollment experience
- Minimum of one year provider enrollment experience
- Excellent written and verbal communication skills
Benefits:
- health insurance
- dental insurance
- vision insurance
- 401(k)
- PTO
- paid holidays
- life insurance
- disability insurance
- on-site fitness center
- company-wide social events
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