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Provider Enrollment Representative
Assembly Health. Complete end-to-end provider enrollment applications .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider enrollment processes, including application completion and claims resolution, while maintaining strong communication and reporting skills. Proficient in managing detailed logs and coordinating with various stakeholders in a fast-paced healthcare environment.
Highest-signal resume keywords
Provider Enrollment ExperienceMedical Billing KnowledgeMicrosoft Office Suite ProficiencyStrong Communication SkillsClaims Resolution Expertise
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider Enrollment ApplicationsClaims ResearchEnrollment Database DocumentationPayer ProcessingStatus Reporting
Soft Skills
Customer ServiceDetail-OrientedSelf-MotivatedTeam PlayerAbility to Multitask
Industry Keywords
Healthcare Provider RelationsCredentialing ExperienceCAQH ProfilesFast-Paced EnvironmentProfessional Demeanor
About the role
Key responsibilities & impact- Complete end-to-end provider enrollment applications
- Maintain detailed logs of pending and completed work
- Communicate application results and status to physicians, payers, managers, and coworkers
- Maintain physician enrollment and CAQH profiles
- Document information within the enrollment database
- Coordinate signatures
- Perform payer processing and research
- Conduct extensive phone and internet work
- Research and resolve claim issues related to physician enrollment
- Perform other tasks as needed
- Report to the Director of Provider Relations
Requirements
What you’ll need- Experience in the medical billing field and/or healthcare provider relations
- Prior enrollment or credentialing experience preferred
- College degree or degree in process preferred
- Proven customer service, client relations, and claims resolutions experience
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills
- Strong reporting expertise, including ability to provide status reports and escalations where necessary
- Ability to work independently and in a team environment
- Ability to multitask in fast-paced environments
- Ability to function well in a fast-paced and sometimes 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
- Professional demeanor and self-starter attitude
- Detail-oriented, self-motivated team player
- Commitment to honesty, candor, and trust
Benefits
Comp & perks- Competitive Benefit Packages, including medical, dental, and vision
- 401(k)
- Paid holidays
- Paid time off
- Ongoing training and development programs
- Career growth opportunities
- Virtual and in-person team events
- Bonus program opportunities for eligible employees
- Transparent work environment