LogixHealth Logo

LogixHealth

Representative, Provider Enrollment

Posted 5 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in United States
24-25 Hourly
Junior
Remote
Hiring Remotely in United States
24-25 Hourly
Junior
Processes provider and group enrollment applications for physicians and mid-level providers, researches state-specific insurance requirements, submits applications to carriers, follows up on enrollment status, maintains credentialing data, and resolves denials with account managers. The role also involves provider communication, client collaboration, and participation in client conference calls.
The summary above was generated by AI

About LogixHealth, Inc.

At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.

Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.

At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.

Location: Remote in AL, CO, GA, MA, MI, MO, NC, NH, NY, OH, OK, TN, TX, WI, and WV 
This Role:
As a Provider Enrollment Representative at LogixHealth, you will perform all provider enrollment related procedures for physicians and mid-level providers. You’ll contribute to our fast-paced, collaborative environment and bring your expertise to ensure groups can submit claims to insurance carriers for reimbursement.

The ideal candidate will have strong technical skills, excellent interpersonal communication, and provider enrollment experience.
Key Responsibilities:

  • Process provider enrollment applications for providers/groups
  • Research insurance provider enrollment requirements by state
  • Enter group/individual data to credentialing system
  • Prepare and submit provider enrollment applications to insurance carriers
  • Follow-up on provider enrollment applications with provider, insurance company or client sites
  • Interact with providers via phone or email as needed
  • Collaborate with Account Managers to resolve provider denials
  • Update/Maintain Provider Enrollment Credentialing System
  • Attend conference calls with clients as requested

Qualifications:
To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.
Required:

  • Prior word processing, spreadsheet, and internet software experience including proficiency with MS Teams, Word, Excel, Outlook
  • Group enrollment, multi-specialty, and multi-state provider enrollment experience
  • Minimum of one year provider enrollment experience
  • Excellent written and verbal communication skills

Preferred:

  • Proven experience managing provider enrollment in NY, MA, and NJ
  • Revenue cycle knowledge

Benefits at LogixHealth:

We offer a comprehensive benefits package including health insurance, dental insurance and vision insurance, 401(k), PTO, paid holidays, life insurance and disability insurance, and company-wide social events.

HQ

LogixHealth Bedford, Massachusetts, USA Office

8 Oak Park Drive, Bedford, MA, United States, 01730

Similar Jobs

Yesterday
Remote or Hybrid
Boston, MA, USA
83K-154K Annually
Senior level
83K-154K Annually
Senior level
Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Manage complex, litigated commercial general liability and construction casualty claims valued at $500,000 or more. Responsibilities include coverage analysis, liability assessment, investigations, reserving, negotiations, litigation strategy, outside counsel and expert coordination, and settlement decisions. The role requires collaboration with legal, underwriting, reinsurance, product, and subrogation teams, along with mentoring less-experienced claims professionals and contributing to process improvements.
Yesterday
Easy Apply
Remote
United States
Easy Apply
130K-140K Annually
Senior level
130K-140K Annually
Senior level
Healthtech • Software
Own actuarial models and client-facing reporting measuring cost savings, outcomes, and performance of healthcare prior authorization programs. Analyze authorization and claims data, conduct impact evaluations, reconcile projected and realized results, investigate trends, and present executive-level insights to customers and leadership. Partner with clinical, customer success, data, and actuarial teams while maintaining reproducible, auditable methodology and documentation.
Top Skills: AirflowAthenaAws S3ExcelPythonRSASSparkSQLTableau
Yesterday
Easy Apply
Remote
United States
Easy Apply
105K-115K Annually
Senior level
105K-115K Annually
Senior level
Healthtech • Software
Develop and maintain financial and cost-savings models for prior authorization initiatives. Analyze healthcare claims, authorization trends, decision patterns, and cost drivers; quantify projected savings; and deliver executive reports and recommendations. Partner with clinical and customer success teams to address authorization challenges, conduct post-implementation assessments, and refine savings strategies. This remote-first role requires approximately 5% travel for onboarding and occasional meetings.
Top Skills: Amazon AthenaApache AirflowSparkAws S3ExcelPower BIPythonRScalaSQLTableau

What you need to know about the Boston Tech Scene

Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.

Key Facts About Boston Tech

  • Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
  • Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
  • Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
  • Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account