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

#twiceasnice Recruiting

3d•$44,000 - $54,000•Remote

About The Position

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

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
Candidates with primarily CVO or delegated credentialing backgrounds are not a fit for this role.

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