Remote Provider Enrollment Specialist

Gainwell Technologies; Alaska; Hybrid; USD 35,000 - 50,000; Full time

Benefits offered by this job

Generous vacation policy

Educational assistance

Leadership and technical development

401(k) employer match

Health benefits

Job summary

HMS, a Gainwell Company, in Alaska is hiring Provider Enrollment Specialists for the Alaska MMIS Fiscal Agent contract. The Specialists are responsible for interfacing with providers, processing applications, and performing data entry related to provider enrollment.

You will verify and maintain provider data, handle correspondence, research issues, and ensure compliance with policies while delivering clear guidance to providers and supporting operations.

Qualifications

• Minimum of one year of experience in credentialing, medical billing, or healthcare.
• Proficient in Microsoft Office with strong analytical, problem-solving, and decision-making skills.

Responsibilities

• Processes and returns moderately complex provider applications and requests, ensuring accuracy and completeness.
• Enters, verifies, and maintains provider data within systems to ensure up-to-date and accurate information.
• Handles written correspondence and responds to internal and external inquiries related to provider enrollment.
• Researches issues, documents resolutions, and tracks all provider inquiries to ensure proper follow-up.
• Ensures compliance with policies and procedures while providing clear guidance to providers and supporting overall operations.

Skills

Credentialing

Medical billing

Healthcare

Microsoft Office

Tools

Microsoft Office

Job description

HMS, a Gainwell Company, in Alaska is hiring Provider Enrollment Specialists for the Alaska MMIS Fiscal Agent contract. The Specialists are responsible for interfacing with providers, processing applications, and performing data entry related to provider enrollment.

You will verify and maintain provider data, handle correspondence, research issues, and ensure compliance with policies while delivering clear guidance to providers and supporting operations.