Provider Enrollment Specialist

FT / PT Status – Full-Time
Salary – $16.29 - $24.00 Hourly
Remote Work / In-Office – Hybrid

Responsibilities

• Answer incoming customer service calls from the medical community and public regarding provider enrollment credentialing and related information to enroll medical providers into the Medicaid system.
• Respond to phone, electronic, fax, and mail inquiries regarding the status of provider applications.
• Explain and interpret Medicaid policies, guidelines, benefits, and procedures.
• Be logged into the phone system for up to 7 hours/day and handle 40 to 60 calls daily.
• Enter, retrieve, and/or correct applications in the PRISM system.
• Receive, research, and respond to incoming questions or complaints; provide information, explain policy and procedures, and/or facilitate resolution.
• Prepare supporting documentation for policy/procedure changes for policy review.
• Write or draft correspondence, reports, documents, and/or other written materials.

Requirements

• Answers customer service calls regarding provider enrollment applications, credentialing, and validations from providers.
• Preference may be given for Spanish-speaking skills and prior professional experience with provider enrollment or credentialing.

Qualifications

Minimum or "day-one" qualifications include handling customer service calls, using the PRISM system, and preparing documentation.

About The Role

Location – 288 North 1460 West, Salt Lake City, Utah, 84116, United States
Background Check Required – You must successfully pass a criminal history check.

Benefits

• Work/life balance and supportive work environment.
• Job stability within a well-established organization.
• Career growth and leadership opportunities.
• Meaningful work contributing to community and organizational goals.

Pay

$16.29 - $24.00 Hourly

Schedule

This position may currently be a hybrid of both in-office and remote work days. Eligibility for remote work is subject to change at management's discretion.