Provider Enrollment Representative

Job Summary

A company is looking for a Provider Enrollment Representative to manage provider records for accurate payment and timely access for members.

Key Responsibilities

• Accurately set up provider records to ensure proper payment
• Handle all implementation steps for enrolling providers in the Plan
• Identify and resolve inaccuracies in data submissions

Required Qualifications

• Bachelor's degree or equivalent combination of education, training, and experience
• 2 or more years of business experience in a managed care or healthcare setting
• Experience using Microsoft Office products, especially Word, Excel, and Outlook
• Knowledge of ONYX, FACETS, or similar provider data and claims processing systems