[Remote] Account Rep, Non-Delegated Healthcare Provider Credentialing & Enrollment

[Remote] Account Rep, Non-Delegated Healthcare Provider Credentialing & Enrollment
Location:

Remote – must live in the United States

Salary:

$44,000 - $54,000 + Benefits

Job Type:

Full-Time | 100% Remote

Typical Hours:

8:00 AM – 5:00 PM with flexibility, Mon-Fri

Start Date:

ASAP

Sponsorship:

Not available

Join our client’s mission-driven healthcare team and support community-based clinics across 20 states in this fully remote role. As an Account Representative, you’ll manage provider enrollment with commercial and managed care payers for Federally Qualified Health Centers (FQHCs), nonprofit providers, and private practices. You’ll ensure billable providers are credentialed, enrolled in various payer networks, and able to bill without delay. This role requires hands‑on experience completing enrollment provider applications from start to finish and managing payer portals and is best suited for candidates with backgrounds in provider relations, payer contracting, or revenue cycle management. If you’re detail‑oriented, proactive, thrive in a fast‑paced environment, and eager to expand healthcare access in underserved communities, this is a great opportunity for growth as your caseload increases.

Responsibilities

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

Qualifications

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

Note:

Candidates with primarily CVO or delegated credentialing backgrounds are not a fit for this role.

Seniority Level
Associate

Employment Type
Full-time

Job Function
Other (Hospitals and Health Care)

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