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Provider Enrollment Representative

Billerica , MA

Posted: 11/09/2021 Industry: Professional and Administration Job Number: 13557

Job Description

Connexion’s mission is to provide "best in class" services to job seekers. We strive to achieve excellence in job placement, staffing, and recruiting services while treating candidates with the professionalism and respect they deserve.

 

Title:  Provider Enrollment Representative

Hiring Organization: Connexion Systems & Engineering

Compensation, Benefits, and Employment Type

  • Duration: Temp to Perm  
  • Pay rate: $24.00-35.00/hr
  • Job Location: Billerica, MA
  • Job# 13557

 


Provider Enrollment Representative

Has some exposure to provider enrollment/credentialing (6 months-1 year minimum), but they’ve considered candidates who just have experience working directly with providers in some sort of capacity.

Process provider enrollment applications for providers/groups

 

2. Research insurance provider enrollment requirements by state

 

3. Enter group/individual data to credentialing system

 

4. Prepare and submit provider enrollment applications to insurance carriers

 

5. Follow-up on provider enrollment applications with provider, insurance company or client sites

 

6. Interact with providers via phone or email as needed

 

7. Collaborate with Account Managers to resolve provider denials

 

 

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