Provider Enrollment Representative II

About this role

Essential Responsibilities •Works in all phases of provider enrollment, re-enrollment, and expirables management, ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers. •Accurate data entry of up-to-date expirables, practice/billing locations, and other pertinent information to the payer enrollment database. •Participate in review, completion, and/or submission of provider enrollment initial and re-enrollment applications for local and national commercial, Medicare, and Medicaid payers via payer online portals or other methods as applicable. •Follow up with payers via phone, website, or email requesting network participation and follow up on submitted applications. •Assist providers, and client personnel with completion of the application, routinely follow up with insurance carriers to monitor the status of applications and resolve issues. •Facilitate completion, set-up and/or re-attestations of CAQH applications. •Responsible for NPPES updates for individual and organization providers. •Professional, friendly, and timely coordination and collaboration with providers and/or designated office personnel. •Achieve monthly quality and productivity standards. •Compliance with R1 policies. •Performs other duties as assigned by the Provider Enrollment leadership. •Assists with auditing, training, and educating peers and client team members with escalations and enrollment processes and paperwork. •Supports team in identifying gaps and trends in enrollment processes and escalating to leadership for resolution.

Education Level High School - Equivalent experience will be considered

Experience Level Minimum of 2 years of experience

Licenses and Certifications Not Specified

Skills Not Specified

Physical Demands •Sitting •Standing •Extended Computer Usage •Walking

Work Environment •Well lit •Remote •Noise Level -Quite •Climate ControlledFor this US-based position, the base pay range is $16.61 - $22.95 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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