Representative, Provider Enrollment

Posted 4 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
24-25 Hourly
Junior
Healthtech
The Role
Processes provider and group enrollment applications for physicians and mid-level providers, researches state-specific insurance requirements, submits applications to carriers, follows up on enrollment status, maintains credentialing data, and resolves denials with account managers. The role also involves provider communication, client collaboration, and participation in client conference calls.
Summary Generated by Built In

About LogixHealth, Inc.

At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.

Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.

At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.

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.

Skills Required

  • Prior word processing, spreadsheet, and internet software experience
  • Proficiency with Microsoft Teams, Word, Excel, and Outlook
  • Group enrollment, multi-specialty, and multi-state provider enrollment experience
  • Minimum of one year of provider enrollment experience
  • Excellent written and verbal communication skills
  • Experience managing provider enrollment in New York, Massachusetts, and New Jersey
  • Revenue cycle knowledge
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The Company
HQ: Bedford, MA
869 Employees

What We Do

At LogixHealth, we're making intelligence matter throughout healthcare. LogixHealth has over two decades of experience providing full service coding, billing and revenue cycle solutions for emergency departments, hospitals and physician practices for millions of visits annually. LogixHealth provides ongoing coding, claims management and the latest business intelligence analytics for clients in over 40 states. For more information, visit us online at www.logixhealth.com.

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