Representative, Provider Enrollment

Company Overview

LogixHealth, Inc. specializes in expert coding and billing services aimed at enabling physicians to focus on clinical care. Founded in the 1990s by physicians for their own practices, it has grown into a leading provider of software-enabled revenue cycle management solutions across 40 states. Their services include coding, claims management, and advanced business intelligence reporting dashboards. Committed to improving healthcare systems, LogixHealth integrates proprietary software to deliver critical financial, clinical, and other data insights to enhance patient care quality and efficiency. Their mission centers on blending Physician-Inspired Knowledge, cutting-edge Technology, and exemplary Service.

Position Location

This full-time position is remote, available in AL, CO, GA, MA, MI, MO, NC, NH, NY, OH, OK, TN, TX, WI, and WV.

Role Summary

The Provider Enrollment Representative is responsible for managing all provider enrollment processes for physicians and mid-level providers, ensuring groups have proper enrollment to submit claims to insurance carriers for reimbursement. The role demands strong technical abilities, excellent communication skills, and relevant provider enrollment experience.

Core Responsibilities

• Handle provider enrollment application processes for individual providers and groups.
• Investigate insurance provider enrollment requirements specific to each state.
• Input group and individual data into the credentialing system accurately.
• Prepare and submit enrollment applications to insurance carriers promptly.
• Conduct follow-ups with providers, insurers, and client sites regarding application status.
• Communicate with providers via phone and email as necessary.
• Work in tandem with Account Managers to address and resolve provider claim denials.
• Keep the Provider Enrollment Credentialing System up-to-date and accurate.
• Participate in client conference calls when requested.

Qualifications

Success in this role requires competency in all responsibilities listed below. Reasonable accommodations may be provided for qualified individuals with disabilities.

Required

• Experience with word processing, spreadsheets, and internet software, including proficiency in MS Teams, Word, Excel, and Outlook.
• Experience with group enrollment involving multiple specialties and states.
• A minimum of one year of provider enrollment experience.
• Exceptional written and verbal communication skills.

Preferred

• Knowledge of revenue cycle processes.

Benefits

The company offers a comprehensive package including health, dental, and vision insurance, a 401(k) plan, paid time off, paid holidays, life and disability insurance, access to an on-site fitness center, and company-wide social events.

Compensation

The hourly pay range for this position is between 24 and 25 USD per hour.