Provider Enrollment Clerk - Remote

Gainwell Technologies; Indiana (PA); Remote; USD 29,000 - 42,000; Full time

Job summary

An established industry player is seeking a detail-oriented individual to join their team in the Provider Enrollment department. This role is crucial for ensuring the efficient processing and enrollment of provider applications, requiring strong communication skills and the ability to navigate complex issues. The ideal candidate will thrive in a fast-paced environment, ensuring compliance with Medicaid policies while maintaining quality and timeliness. With opportunities for professional growth and a commitment to diversity and inclusion, this position offers a chance to contribute to making healthcare better for everyone.

Benefits

Flexible Vacation Policies

401(k) Match

Health Benefits

Educational Assistance

Professional Growth Opportunities

Qualifications

• Experience with provider enrollment processing in Medicare and/or Medicaid organizations preferred.
• Ability to learn and interpret administrative policies and procedures.

Responsibilities

• Review, data entry, and process all enrollment/update provider enrollment types.
• Handle complex Provider Enrollment applications under strict deadlines.

Skills

Provider Enrollment Processing

Communication Skills

Problem-Solving

Microsoft Office Suite

Research and Analysis

Education

High School Diploma

Some College

Tools

MS Word

MS Excel

MS PowerPoint

Job description

Summary

Under the supervision of the Provider Enrollment Manager Supervisor, this position is responsible for the timely review, investigation, enrollment, and updating of provider applications received in the department. The role involves maintaining quality, production, and timeliness standards, and staying current with policies and procedures related to the enrollment process and specific functions of the position.

Your role in our mission

• Review, data entry, and process all enrollment/update provider enrollment types and related documents, correcting audit errors.
• Outreach to customers as needed and assist others in processing enrollment documents and applications submitted by providers.
• Handle complex Provider Enrollment applications under strict deadlines.
• Ensure Provider Enrollment applications comply with Medicaid policies and procedures.

What we're looking for

• High school diploma; some college preferred.
• Experience with provider enrollment processing in Medicare and/or Medicaid organizations is preferred.
• Proficiency with PC and Windows environment, including MS Word, Excel, and PowerPoint.
• Ability to research, analyze, and resolve complex issues efficiently.
• Ability to learn and interpret administrative policies and procedures.

What you should expect in this role

• Strong verbal and written communication skills.
• Ability to make decisions, solve problems, and ensure accuracy, quality, and efficiency.
• Willingness to learn internal systems, processes, and programs.
• Familiarity with medication names and medical terminology.
• Basic computer skills, including Microsoft Office, internet, and email.

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Compensation and Benefits

The pay range for this position is $29,100.00 - $41,600.00 per year, varying by location, experience, and other factors. We offer flexible vacation policies, a 401(k) match, health benefits, educational assistance, and opportunities for professional growth through leadership and technical development programs.

Join Gainwell to make healthcare better for everyone. We value collaboration, innovation, and inclusion. Learn more about us on our website and explore our career opportunities.

Gainwell Technologies is committed to diversity, equity, and inclusion. We are an Equal Opportunity Employer, welcoming applicants regardless of race, religion, gender, sexual orientation, age, veteran status, disability, or other protected characteristics. We celebrate diversity and strive for an inclusive environment for all employees.