Provider Relations Representative

What You Will Do:

Complete end-to-end provider enrollment applications
Maintain a detailed log of all pending and completed work
Communicate the results and status of the applications to physicians, payers, managers, and co-workers.
Maintenance of physician enrollment and CAQH profiles
Documentation within enrollment database
Coordinate signatures
Payer processing and research
Involves extensive phone work and internet.
Research and resolve claim issues related to physician enrollment.
Other tasks as needed.

What it Takes to Join the Family:

Experience in the medical billing field and/or healthcare provider relations
Prior Enrollment or Credentialing experience is preferred.
College degree or degree in process preferred.
Proven customer service, client relations, and claims resolutions experience
Professional demeanor with a self-starter attitude
Ability to work independently as well as in a team environment.
Proficiency in Microsoft Office Suite
Strong written and verbal communication skills with customer service focused aptitude
Detail-oriented individuals who are team players and highly self-motivated.
Ability to multitask in fast paced environments.
Strong reporting expertise with ability to provide status report and escalation where necessary.
Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family.
Ability to function well in a fast-paced and at times stressful environment.
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.