Account Representative, Provider Enrollment (no...

Account Representative, Provider Enrollment (non-delegated, payer portals exp. req.)Location: Remote – must live in the United States Salary: $44,000 - $54,000 + BenefitsBenefits: Health Insurance, 401k w/ match, Paid Holidays, Paid Time OffJob Type: Full-Time | 100% RemoteTypical Hours: 8:00 AM – 5:00 PM with flexibility, Mon-Fri Start Date: ASAPSponsorship is not available 

Account Representative, Provider Enrollment Description

Join our client’s mission-driven healthcare team and support community-based clinics across 20 states in this fully remote role. As an Account Representative, you’ll manage provider enrollment with commercial and managed care payers for Federally Qualified Health Centers (FQHCs), nonprofit providers, and private practices. You’ll ensure billable providers are credentialed, enrolled in various payer networks, and able to bill 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 revenue cycle management. If you’re detail-oriented, proactive, thrive in a fast-paced environment, and eager to expand healthcare access in underserved communities, this is a great opportunity for growth as your caseload increases.

Account Representative, Provider Enrollment Responsibilities

•    Act as the primary contact for assigned accounts across multiple states•    Independently manage the full credentialing and provider enrollment process•    Complete and track provider enrollment applications with commercial and managed care payers•    Maintain and update payer portals to ensure accuracy and timely contract execution•    Coordinate contracting processes with payers, resolving issues and escalating delays •    Support Medicare and Medicaid enrollments•    Navigate state-specific processes unique to each payer and state•    Communicate with payers and providers to meet enrollment and contracting needs •    Keep clients informed with regular progress meetings and proactive problem-solving•    Ensure accuracy of provider data, including up-to-date CAQH profiles 

Account Representative, Provider Enrollment Qualifications

•    Direct provider enrollment experience required•    Experience in submitting individual enrollment applications for billable providers required•    Experience with payer portals across commercial, managed care, Medicare, and Medicaid required•    Background in provider relations, payer contracting, or revenue cycle management•    Experience with nonprofit clinics, FQHCs, and/or private practices required•    Proficiency with credentialing/enrollment software and Microsoft Excel required

Candidates with primarily CVO or delegated credentialing backgrounds are not a fit for this role.