Job Description
This is a remote position.
Schedule:
- Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)
- Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)
The desired result of the Provider Enrollment Account Representative role is consistent, dependable support of the Provider Enrollment Account Coordinator. Enrollment documentation is collected accurately and on time, provider information is well-organized, and internal teams have the information they need to move items forward without delay. Clients and internal partners experience communication as clear, timely, and professional. Documentation gaps are identified early, follow ups are proactive, and tracking systems are kept current.
Measures of Success:
- Client-required information is consistently received and verified before enrollment applications are initiated.
- Initial documentation requests are sent within 3 working hours of the provider enrollment request.
- Follow up requests for missing documentation are sent within 3 working hours of identification.
- Internal and client emails are responded to within 8 working hours.
- Enrollment activity and documentation are accurately maintained in all internal tracking systems.
- Assigned workload consistently reflects 100% client satisfaction.
Responsibilities:
- Support client-facing Provider Enrollment activities by managing a reduced caseload of providers under the direction of the Account Team Coordinator.
- Assist with client communication to collect all required enrollment documentation prior to application submission.
- Track licensures, re-credentialing timelines, and enrollment status, and proactively follow up with clients regarding upcoming needs.
- Create and maintain CAQH profiles for assigned providers, including timely re-attestations.
- Organize, upload, and store client-provided documentation in designated internal systems to ensure accessibility for Credentialing Coordinators.
- Prepare and send initial and follow up requests for enrollment documentation within established service timeframes.
- Maintain accurate, up-to-date records of enrollment activity across internal tracking tools.
- Coordinate with Credentialing Coordinators and state payor representatives to support timely and accurate application submissions.
- Contribute to weekly internal and external status reporting.
- Maintain working knowledge of payor-specific requirements and escalate questions or issues to the Account Team Coordinator as needed.
Requirements
- 2-year college degree
- Two years experience in a US-based medical billing practice or two years experience in a medical practice dealing with billing including but not limited to, provider credentialing, authorizations, reimbursement, etc., preferably in Behavioral Health to some degree
Knowledge/skills/abilities:
- Strong organizational skills with attention to detail.
- Clear written and verbal communication skills.
- Willingness to learn and grow in a client facing operational role.
- Ability to manage multiple tasks and meet deadlines.
- Professional, courteous, and collaborative demeanor.
- Comfort using spreadsheets, document storage platforms, and email systems in a professional setting.
Core Values:
We hire/fire/promote based on these core values + job-specific performance.
- Respectful of our unique cultural environment
- Absolute confidentiality
- Embracing teamwork
- Loyal behavior and positive attitude
- Accountability
- Pro activeness
- Thoroughness
- Focused on results
- Inspired to learn and grow constantly
- Devoted to providing top-tier services to our clients through the company's Unique Service Oriented Philosophies
Benefits
Independent Contractor Perks:
- Permanent work from home
- Immediate hiring
- Steady freelance job
- Profit sharing incentive
- Paid time off
- Holiday pay
- Annual Performance and Raise Evaluation
- Quarterly Perfect Attendance Incentive
- BruntWork Loan Assistance
Please note that since this is a permanent work-from-home position and an Independent Contractor arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.
