Account Representative, Provider Enrollment – payer portals exp. req.

#twiceasnice Recruiting

. Act as the primary contact for assigned accounts across multiple states .

Posted 4/21/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $44,000 - $54,000 per yearWebsite

About the role

Key responsibilities & impact

Act as the primary contact for assigned accounts across multiple states
Independently manage the full credentialing and provider enrollment process
Complete and track provider enrollment applications with commercial and managed care payers
Maintain and update payer portals to ensure accuracy and timely contract execution
Coordinate contracting processes with payers, resolving issues and escalating delays
Support Medicare and Medicaid enrollments
Navigate state-specific processes unique to each payer and state
Communicate with payers and providers to meet enrollment and contracting needs
Keep clients informed with regular progress meetings and proactive problem-solving
Ensure accuracy of provider data, including up-to-date CAQH profiles

Requirements

What you’ll need

Direct provider enrollment experience required
Experience in submitting individual enrollment applications for billable providers required
Experience with payer portals across commercial, managed care, Medicare, and Medicaid required
Background in provider relations, payer contracting, or revenue cycle management
Experience with nonprofit clinics, FQHCs, and/or private practices required
Proficiency with credentialing/enrollment software and Microsoft Excel required

Benefits

Comp & perks

Health Insurance
401k w/ match
Paid Holidays
Paid Time Off

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

provider enrollmentcredentialingpayer contractingrevenue cycle managementdata accuracyapplication submissionproblem-solvingtracking applicationscontract executionCAQH profiles

Soft Skills

communicationproactive problem-solvingclient managementcoordinationindependence