Account Representative, Provider Enrollment – payer portals exp. req.

🕒 il y a 1 mois

🇺🇸 États-Unis – Télétravail

💵 $44 000 - $54 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

💰 Responsable de comptes

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of #twiceasnice Recruiting

#twiceasnice Recruiting

51 - 200 employés

🎯 Recrutement

Recruitment

#twiceasnice est un cabinet de recrutement en placement permanent qui se spécialise dans la recherche rapide et efficace de talents locaux spécialisés à travers le monde. Ils soulignent leur capacité à surpasser les standards de l'industrie par 2,5 fois, offrant une structure unique de frais et de garantie. L'entreprise se targue d'avoir une portée mondiale tout en conservant une approche locale et se distingue par un processus de recrutement ajusté qui livre les meilleurs candidats à moitié prix comparé à d'autres cabinets, avec une garantie doublée. Basée à Boston, #twiceasnice a servi plus de 1 700 clients et a réalisé des milliers de placements réussis, se distinguant comme un partenaire de recrutement fiable.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• Health Insurance • 401k w/ match • Paid Holidays • Paid Time Off

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