Representative, Provider Enrollment

Location: Remote in AL, CO, GA, MA, MI, MO, NC, NH, NY, OH, OK, TN, TX, WI, and WV 

This Role:
As a Provider Enrollment Representative at LogixHealth, you will perform all provider enrollment related procedures for physicians and mid-level providers. You’ll contribute to our fast-paced, collaborative environment and bring your expertise to ensure groups can submit claims to insurance carriers for reimbursement.

The ideal candidate will have strong technical skills, excellent interpersonal communication, and provider enrollment experience.

Key Responsibilities:

• Process provider enrollment applications for providers/groups
• Research insurance provider enrollment requirements by state
• Enter group/individual data to credentialing system
• Prepare and submit provider enrollment applications to insurance carriers
• Follow-up on provider enrollment applications with provider, insurance company or client sites
• Interact with providers via phone or email as needed
• Collaborate with Account Managers to resolve provider denials
• Update/Maintain Provider Enrollment Credentialing System
• Attend conference calls with clients as requested

Qualifications:
To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.

Required:

• Prior word processing, spreadsheet, and internet software experience including proficiency with MS Teams, Word, Excel, Outlook
• Group enrollment, multi-specialty, and multi-state provider enrollment experience
• Minimum of one year provider enrollment experience
• Excellent written and verbal communication skills

Preferred:

• Proven experience managing provider enrollment in NY, MA, and NJ
• Revenue cycle knowledge

Benefits at LogixHealth:

We offer a comprehensive benefits package including health insurance, dental insurance and vision insurance, 401(k), PTO, paid holidays, life insurance and disability insurance, and company-wide social events.