Provider Enrollment Specialist

7 days ago


Bedford, Massachusetts, United States LogixHealth Full time
Job Overview

We are seeking a highly skilled Provider Enrollment Specialist to join our team at LogixHealth. As a key member of our team, you will be responsible for ensuring that healthcare providers are properly enrolled with insurance carriers, enabling them to submit claims for reimbursement.

Key Responsibilities

  • Process provider enrollment applications, ensuring accuracy and completeness
  • Research and stay up-to-date on insurance provider enrollment requirements by state
  • Enter group and individual data into our credentialing system
  • Prepare and submit provider enrollment applications to insurance carriers
  • Follow up on enrollment applications with providers, insurance companies, and client sites
  • Collaborate with Account Managers to resolve provider denials
  • Update and maintain our Provider Enrollment Credentialing System
  • Participate in conference calls with clients as needed

Requirements

  • High School Diploma or equivalent combination of education and experience required
  • Prior MS Office experience, including proficiency with Excel and Word, and internet software experience required
  • One to two years related experience required

What We Offer

At LogixHealth, we value our team members and offer a dynamic work environment, opportunities for growth and development, and a competitive compensation package.



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