Account Representative, Provider Enrollment (non-delegated, payer portals exp. r

Account Representative, Provider Enrollment (non-delegated, payer portals exp. req.)
Location: Remote must live in the United States
Salary: $44,000 - $54,000 + Benefits
Benefits: Health Insurance, 401k w/ match, Paid Holidays, Paid 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 Description

Join our clients mission-driven healthcare team and support community-based clinics across 20 states in this fully remote role. As an Account Representative, youll manage provider enrollment with commercial and managed care payers for Federally Qualified Health Centers (FQHCs), nonprofit providers, and private practices. Youll ensure billable providers are credentialed, enrolled in various payer networks, and able to bill without delay. This role requires hands-on experience completingenrollment 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 youre 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.**