Remote Healthcare Credentialing & Enrollment Specialist

#twiceasnice Recruiting; United States; Remote; USD 44.000 - 54.000; Vollzeit

Zusammenfassung

A healthcare recruiting firm is seeking a Remote Account Representative to manage provider enrollment for community clinics. This role requires experience with payer portals, credentialing, and prior work with nonprofit health providers. Candidates must be detail-oriented and thrive in a fast-paced environment. The position offers a salary range of $44,000 to $54,000 with benefits. Join our mission to expand healthcare access in underserved communities.

Qualifikationen

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

Aufgaben

• 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.

Kenntnisse

Enrollment application submission

Experience with payer portals

Provider relations background

Revenue cycle management

Credentialing software proficiency

Microsoft Excel

Jobbeschreibung

A healthcare recruiting firm is seeking a Remote Account Representative to manage provider enrollment for community clinics. This role requires experience with payer portals, credentialing, and prior work with nonprofit health providers. Candidates must be detail-oriented and thrive in a fast-paced environment. The position offers a salary range of $44,000 to $54,000 with benefits. Join our mission to expand healthcare access in underserved communities.