Provider Enrollment Specialist - Remote Idaho

Gainwell Technologies; Idaho; Remote; USD 27,000 - 39,000; Full time

Job summary

An established industry leader is seeking a motivated Provider Enrollment Specialist to join their remote team. In this role, you will serve as the crucial liaison between the organization and the Idaho Medicaid provider community. Your responsibilities will include processing enrollment applications, providing exceptional customer service, and maintaining compliance with state requirements. This dynamic position offers the chance to grow your career in a supportive environment that values flexibility and professional development. Join a company that believes in making healthcare work better for everyone and enjoy a fulfilling career path with ample opportunities for advancement.

Benefits

Flexible Vacation Policy

401(k) Employer Match

Comprehensive Health Benefits

Educational Assistance

Leadership Development Academies

Technical Development Academies

Qualifications

• 3+ years in healthcare, preferably credentialing or regulatory.
• Proven experience in issue resolution and customer service.

Responsibilities

• Process provider enrollment applications and updates per State requirements.
• Provide excellent customer service and support to stakeholders.

Skills

Healthcare Industry Experience

Microsoft Office Skills

Issue Resolution

Strong Communication Skills

Organization and Time Management

Tools

Business Solutions Software

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

Provider Enrollment Specialists work as the enrollment liaison between Gainwell Technologies, Idaho Department of Health & Welfare (Medicaid Division) and the Idaho Medicaid provider community (direct physicians, groups, organization administrators, compliance officers, billers, and credentialing staff). This position is responsible to educate, support, validate achievement of outlined enrollment requirements and process initial and maintenance applications. Requirements of this role include delivering the highest quality end-to-end service and support, by concise communications, through analysis and adherence to timely response deliverables. Specialists provide, build, maintain, and promote positive relationships through a vast array of consistent engagement with key stakeholders.

Your role in our mission

• Review and process initial provider enrollment applications per State requirements
• Updates provider changes, certifications, and license updates
• Navigates multiple systems, licensing and medical certification websites to obtain updates
• Follows up with providers on outstanding issues within contractual guidelines
• Provides excellent customer service with professional verbal and written abilities while meeting documented quality standards

What we're looking for

• Highly motivated self-starter with 3+ years’ experience working in healthcare industry preferably credentialling or regulatory.
• Strong Microsoft Office skills and experience working with business solutions software.
• Proven experience with issue resolution focused on research, provider enrollment, requirement compliance and customer service.
• Ability to investigate complex inquiries while leveraging requirements to promote successful outcomes.
• Strong written and verbal communication skills. Strong organization and time management skills.

What you should expect in this role

• This is a 100% remote position.
• The 8-hour shifts will be scheduled between 7:00am - 7:00pm MST, Monday through Friday.
• Fast-paced, high volume, high visible position requiring attention to detail, delivering documented high quality customer service and support, within specific service level agreement timelines and standards.
• Leverage provider grid, process documents and systems to verify enrollment and maintenance requirements are met and validated.
• Investigates complex inquiries, identifies resolutions, provides support and response to internal and external customers via secure message, email, and verbal communication. Captures and documents all inquiries and responses within the system tool.
• Will work independently and with a team.

The pay range for this position is $27,200 - $38,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.