Account Rep, Non-Delegated Healthcare Provider Credentialing & Enrollment

Remote Full-time
Account Representative, Credentialing & Enrollment (non-delegated, Provider-side exp. req.)
Location: Remote – must live in the United States
Salary: $44,000 - $54,000 + Benefits
Benefits: Health Insurance, 401k w/ match, Paid Holidays, Paid Time Off
Job Type: Full-Time | 100% Remote
Typical Hours: 8:00 AM – 5:00 PM with flexibility, Mon-Fri
Start Date: ASAP
Sponsorship is not available

Account Representative, Healthcare Credentialing & Enrollment Description

Join our client’s mission-driven healthcare team and play a key role in supporting community-based clinics across 20 US states. This fully remote position focuses on credentialing and enrollment for Federally Qualified Health Centers (FQHCs), and other nonprofit and private practice healthcare providers. As an Account Representative, you’ll ensure a smooth onboarding experience while managing financial credentialing and payer enrollment, providing ongoing support for both medical and behavioral health providers/clients. This is a great opportunity to directly contribute to improving access to essential healthcare services in underserved communities, with an organization that provides a clear pathway to advancement as your caseload increases.

Account Representative, Healthcare Credentialing & Enrollment Responsibilities
• Act as the primary contact for assigned accounts
• Offer expert guidance and support to clients with regular progress meetings
• Independently manage the full spectrum of financial credentialing and enrollment processes
• Analyze and update credentialing statuses to ensure compliance and progress
• Process Medicare and Medicaid enrollments
• Facilitate provider enrollments with various insurance carriers, enhancing provider networks
• Offer prompt and effective responses to inquiries from insurance companies
• Keep clients informed about the status of the credentialing processes
• Ensure the integrity of provider information, including up to date CAQH profiles
• Champion client engagement initiatives and manage enrollment tasks diligently

Account Representative, Healthcare Credentialing & Enrollment Qualifications
• Non-delegated credentialing & provider enrollment for healthcare facilities required
• Experience completing and submitting enrollment applications for billable providers required
• Knowledge of credentialing processes for Medicare, Medicaid, and commercial payers required
• Experience working with nonprofit clinics, FQHCs, and/or private practices required
• Proficiency with credentialing software, MS Office, specifically Excel, required

About #twiceasnice Recruiting

Across industries, roles, and North America, we help clients quickly attract top talent with custom-built searches. With the lowest fee in the industry, the longest guarantee, and commission-free senior recruiters - we align our interests with the long-term success of every placement.

Need recruiting help? www.twonice.com

Job Type: Full-time

Pay: $44,000.00 - $54,000.00 per year

Benefits:
• 401(k)
• Health insurance
• Paid time off

Application Question(s):
• Which company or positions listed on your resume is your provider-side non-delegated credentialing & enrollment experience for facilities/healthcare providers?
• What billable provider-types have you completed enrollments for?
• The salary range is $44,000 - $54,000 + Benefits. Is that within an acceptable range for you?

Education:
• High school or equivalent (Required)

Experience:
• provider-side non-delegated credentialing & enrollment : 1 year (Required)
• submitting individual provider applications to each payers’ : 1 year (Required)
• working w/ non-profit clinics, FQHCs, /or private practices : 1 year (Required)
• Medicare, Medicaid & commercial payers credentialing : 1 year (Required)
• credentialing software and MS Excel: 1 year (Required)

Work Location: Remote

Apply Now

Apply Now
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Senior Product Manager - Amazon Payments: Driving Business Credit Programs and Customer Experience Innovation

Remote

Postal Clerk - No experience required

Remote

Hiring Now: Remote Field Service Specialist

Remote

Sr Security Operations Engineer, Detection and Response

Remote

Senior Data Analyst - Disney Streaming Services - Remote Data Entry & Virtual Assistant Opportunity

Remote

Remote Mental Health Therapist - Wisconsin

Remote

Experienced Data Entry Associate – Remote Part-Time Opportunity at careerzynith

Remote

[Remote] Senior Software Engineer (EAA)

Remote

Specialty Account Manager - TEPEZZA (Endocrinology) - San Francisco, CA

Remote

Field Service Technician

Remote
← Back