Provider Enrollment Representative II

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $16 - $22 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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R1 RCM

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

💼 Consulting

📦 Logistics

🏥 Healthcare

💰 Private Equity Round on 2024-07

Consulting • Logistics • Healthcare

R1 RCM is a leading provider of revenue cycle management solutions for the healthcare industry. With an emphasis on maximizing financial performance and optimizing patient care, R1 offers a comprehensive platform that integrates data analytics, intelligent technologies, and deep expertise in revenue cycle management. The company assists healthcare providers—ranging from hospitals and health systems to physician and specialty care practices—in capturing revenue opportunities, improving payer and patient cash flows, and ensuring compliance with government regulations. R1 is committed to driving cost reductions and revenue improvements while enhancing the patient experience. Their suite of services includes revenue recovery, clinical integrity, and regulatory navigation, making them a trusted partner for many top healthcare providers.

📋 Description

• Work in all phases of provider enrollment, re-enrollment, and expirables management for commercial and government payers • Enter and maintain current expirables, practice/billing locations, and other pertinent information in the payer enrollment database • Participate in reviewing, completing, and submitting provider enrollment initial and re-enrollment applications through payer portals and other applicable methods • Follow up with payers by phone, website, or email regarding network participation and submitted applications • Assist providers and client personnel with application completion • Monitor application status and resolve issues with insurance carriers • Facilitate completion, setup, and re-attestations of CAQH applications • Update NPPES records for individual and organization providers • Coordinate and collaborate professionally with providers and designated office personnel • Achieve monthly quality and productivity standards • Comply with R1 policies • Perform other duties assigned by Provider Enrollment leadership • Assist with auditing, training, and educating peers and client team members on escalations, enrollment processes, and paperwork • Identify gaps and trends in enrollment processes and escalate them to leadership for resolution

🎯 Requirements

• High school education level • Equivalent experience will be considered • Minimum of 2 years of experience • Accurate data entry skills • Ability to work with commercial, Medicare, and Medicaid payers • Ability to use payer online portals and other application submission methods • Ability to follow up with payers by phone, website, and email • Ability to facilitate CAQH applications • Ability to update NPPES records • Ability to meet monthly quality and productivity standards • Licenses and certifications not specified

🏖️ Benefits

• Competitive benefits package • Opportunity to constantly learn, collaborate across groups, and explore new career paths • Opportunity to contribute meaningful work that makes a difference in communities • Community involvement and giving back • Reasonable accommodation for applicants with disabilities