Remote Provider Enrollment Specialist

Gainwell Technologies LLC; Oregon; Hybrid; USD 33,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) employer match

Paid time off

Educational assistance

Leadership and technical development

Job summary

Gainwell Technologies LLC is seeking a Provider Enrollment Specialist to serve as the enrollment liaison between Gainwell Technologies, the Idaho Department of Health & Welfare (Medicaid Division), and the Idaho Medicaid provider community. The role educates, supports, and validates enrollment requirements and processes initial and maintenance applications.

The position requires strong communication, attention to detail and the ability to work remotely 100% with standard business hours.

Qualifications

• 3+ years' experience in healthcare industry preferably credentialling or regulatory.
• Strong Microsoft Office skills and experience with business solutions software.
• Proven experience with issue resolution focused on research, provider enrollment, requirement compliance and customer service.

Responsibilities

• 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.

Skills

Microsoft Office

Customer service

Communication

Problem solving

Tools

Claims systems

Reporting tools

Job description

Gainwell Technologies LLC is seeking a Provider Enrollment Specialist to serve as the enrollment liaison between Gainwell Technologies, the Idaho Department of Health & Welfare (Medicaid Division), and the Idaho Medicaid provider community. The role educates, supports, and validates enrollment requirements and processes initial and maintenance applications.

The position requires strong communication, attention to detail and the ability to work remotely 100% with standard business hours.