Remote Provider Enrollment Specialist – Compliance

Gainwell Technologies LLC; Columbus (OH); Remote; USD 33,000 - 37,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) match

Paid time off

Educational assistance

Job summary

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

It delivers high-quality end-to-end service through concise communications, analysis, and timely responses.

Qualifications

• 3+ years in healthcare industry preferably credentialling or regulatory.
• Strong Microsoft Office skills and experience with business solutions software.

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

Healthcare experience

Regulatory/credentialing

Customer service

Microsoft Office

Tools

Microsoft Office Suite

CRM software

Job description

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

It delivers high-quality end-to-end service through concise communications, analysis, and timely responses.