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

🕒 April 21

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#twiceasnice Recruiting

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51 - 200 employees

🎯 Recruiter

Recruitment

#twiceasnice is a permanent placement recruiting firm that specializes in finding niche, local talent across the globe quickly and efficiently. They emphasize their ability to outperform industry benchmarks by 2. 5 times, offering a unique fee and guarantee structure. The company boasts a global reach while maintaining a localized focus and prides itself on providing a fine-tuned recruitment process that delivers top candidates at half the fee compared to other firms, with twice the guarantee. Based in Boston, #twiceasnice has served over 1,700 clients and made thousands of successful placements, distinguishing themselves as a reliable recruiting partner.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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