Hybrid Medicaid Provider Enrollment Specialist

Gainwell Technologies LLC; Warwick (RI); Hybrid; USD 35.000 - 50.000; Vollzeit

Benefits dieser Stelle

401(k) employer match

Health benefits

Educational assistance

Generous vacation policy

Zusammenfassung

Gainwell Technologies LLC in Warwick, RI is seeking a Provider Enrollment Specialist to support Medicaid provider enrollment and screening activities in compliance with ACA and federal regulations. You will process applications, verify licenses and identifiers, and maintain provider records while collaborating with state Medicaid representatives to ensure program integrity.

The role requires excellent customer service, strong attention to detail, and the ability to work both independently and as

Qualifikationen

• High School Diploma or equivalent required; Associate/Bachelor preferred.
• Experience in healthcare administration or provider enrollment preferred.
• Strong written and verbal communication in English.

Aufgaben

• Review, validate, and process Medicaid provider enrollment applications.
• Conduct provider screening and verify enrollment documentation for accuracy.
• Maintain and update provider records and respond to inquiries.
• Collaborate with state Medicaid liaisons to meet productivity and quality standards.
• Protect confidential information and comply with privacy requirements.
• Use enrollment systems and suggest process improvements to leadership.

Kenntnisse

Customer service

Interpersonal skills

Attention to detail

Time management

English communication

Ausbildung

High School Diploma

Associate degree

Bachelor’s degree

Tools

Microsoft Office

Windows-based systems

Enrollment systems

Jobbeschreibung

Gainwell Technologies LLC in Warwick, RI is seeking a Provider Enrollment Specialist to support Medicaid provider enrollment and screening activities in compliance with ACA and federal regulations. You will process applications, verify licenses and identifiers, and maintain provider records while collaborating with state Medicaid representatives to ensure program integrity.

The role requires excellent customer service, strong attention to detail, and the ability to work both independently and as