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Insurance Enrollment Representative

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Robert Half

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Location:
United States , Lawrenceville

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Category:
Insurance

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

This Contract to permanent role focuses on ensuring smooth credentialing and enrollment processes for healthcare providers. The ideal candidate will play a vital part in maintaining compliance with payer requirements and facilitating timely reimbursements.

Job Responsibility:

  • Obtain licenses, certifications, and essential documentation from healthcare providers to support accurate and efficient billing processes
  • Prepare and submit enrollment applications to payers, ensuring providers are linked to group billing for reimbursement
  • Maintain accurate and up-to-date records of provider credentials to support credentialing and re-credentialing activities
  • Collaborate with third-party payers to resolve enrollment issues and ensure uninterrupted cash flow
  • Meet with newly contracted providers to guide them through the insurance enrollment process
  • Liaise with insurance representatives to expedite enrollment and address any challenges
  • Communicate enrollment updates to providers, billing managers, and organizational stakeholders
  • Provide supervisors and managers with provider identification numbers for system entry
  • Conduct timely follow-ups on enrollment issues and maintain tracking spreadsheets to monitor progress
  • Update departmental logs and records to reflect the status of insurance credentialing and re-credentialing processes

Requirements:

  • Proficiency in using CRM systems to manage provider information and enrollment data
  • Familiarity with EHR systems for maintaining credentialing records
  • Strong understanding of compliance standards and regulations related to credentialing
  • Demonstrated experience in credentialing processes, including enrollment and re-credentialing
  • Ability to work collaboratively with payers, providers, and internal teams
  • Excellent organizational and tracking skills to manage documentation and timelines
  • Effective communication skills for interacting with providers and insurance representatives
  • Detail-oriented mindset to ensure accuracy in credentialing and enrollment tasks
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
February 20, 2026

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