Provider Enrollment Representative

Assembly Health

20h • $19 - $23

About The Position

The Provider Enrollment Representative completes end-to-end provider enrollment applications and maintains detailed records of pending and completed work. The role communicates application results and status to physicians, payers, managers, and coworkers; maintains physician enrollment and CAQH profiles; documents work in the enrollment database; coordinates signatures; and conducts payer processing and research. The position involves extensive phone and internet use and includes researching and resolving claim issues related to physician enrollment, as well as other tasks as needed.

This is a full-time, non-exempt position reporting to the Director of Provider Relations. The stated pay range is $19.00–$23.00 per hour. Compensation may vary based on factors including skills, experience, qualifications, location, and applicable employment laws. Eligible employees may have the opportunity to participate in company bonus programs.

Requirements

• Experience in medical billing and/or healthcare provider relations.
• Proven customer service, client relations, and claims resolution experience.
• Professional demeanor and a self-starter attitude.
• Ability to work independently and in a team environment.
• Proficiency in Microsoft Office Suite.
• Strong written and verbal communication skills and a customer-service-focused aptitude.
• Detail-oriented, team-player, and highly self-motivated approach.
• Ability to multitask in a fast-paced environment.
• Strong reporting expertise, including the ability to provide status reports and escalate issues where necessary.
• Ability to function well in a fast-paced and sometimes stressful environment.
• Share the company’s core beliefs of honesty, candor, and trust.
• Prolonged periods of sitting at a desk and working at a computer; ability to lift and carry items weighing up to 10 pounds at times.

Nice To Haves

• Prior enrollment or credentialing experience.
• College degree or degree in progress.

Responsibilities

• Complete end-to-end provider enrollment applications.
• Maintain a detailed log of pending and completed work.
• Communicate application results and status to physicians, payers, managers, and coworkers.
• Maintain physician enrollment and CAQH profiles.
• Document work within the enrollment database.
• Coordinate signatures.
• Perform payer processing and research.
• Use the phone and internet extensively as part of the work.
• Research and resolve claim issues related to physician enrollment.
• Perform other tasks as needed.
• Provide status reports and escalate issues where necessary.

Benefits

• Competitive benefits package, including medical, dental, and vision coverage and 401(k).
• Paid holidays.
• Paid time off.
• Ongoing training and development programs.
• Opportunity to participate in company bonus programs for eligible employees.
• Virtual and in-person events to connect with the team.
• Career growth opportunities.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed