Provider Enrollment Research Representative

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized as one of the “165 Top Places to Work in Healthcare” for 2026 by Becker’s Hospital Review. TeamHealth has also been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join Us!

What we Offer

• Career Growth Opportunities
• A Culture anchored in a strong sense of belonging
• Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
• 401k (Discretionary match)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

Overview

The Provider Enrollment Research Representative reports to the Manager, Billing System Support/PER. The Provider Enrollment Research Representative will review, organize, and verify all denials, pertaining to provider’s enrollment. The Provider Enrollment Research Representative will communicate the necessary action to correct/resolve the provider denial for payment.

Essentials Duties and Responsibilities

• Monitor and review all payment denials as assigned in ETM (Enterprise Task Manager)
• Utilize the telephone and various carrier websites as research tools to expedite resolution for issues
• Assemble and forward documentation to the appeals department when appeals are necessary
• Contact carriers to inquire on claims that have been denied and appealed
• Assemble and forward appropriate documentation to the Senior Analyst for provider related issues and rejected claims
• Review carrier manuals and websites and informs management of any new procedures implemented by the carrier that are impacting the Akron Billing Center claims
• Reports any consistent errors found during claims review that may affect claims from being processed correctly
• Consistently meet and maintain the QA (95% or better) and designated production standards
• Performs additional duties as directed by the Provider Enrollment Senior/Manager

Qualifications / Experience

• Thorough knowledge of revenue cycle
• Thorough knowledge of healthcare reimbursement guidelines
• Computer literate, intermediate knowledge of Excel
• Ability to work in a fast-paced environment
• Excellent organizational and analytical skills
• Ability to work independently
• High school diploma or equivalent
• 1 – 3 years of experience in physician medical billing with emphasis on research and claim denials
• General knowledge of ICD and CPT coding