Provider Enrollment Specialist - Remote US

About the role

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).

Responsibilities

• Deliver the highest quality end-to-end service and support, by concise communications, through analysis and adherence to timely response deliverables.
• Provide, build, maintain, and promote positive relationships through a vast array of consistent engagements with key stakeholders.
• 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.

Requirements

• Highest motivation 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 highly preferred.
• Ability to investigate complex inquiries while leveraging requirements to promote successful outcomes.
• Strong written and verbal communication skills.
• Strong computer and business solutions software skills.
• Proficient knowledge of Microsoft Office.
• Strong organization and time management skills.

Qualifications

Your role in our mission

Skills

• 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 highly preferred.
• Ability to investigate complex inquiries while leveraging requirements to promote successful outcomes.
• Strong written and verbal communication skills.
• Strong computer and business solutions software skills.
• Proficient knowledge of Microsoft Office.
• Strong organization and time management skills.

Benefits

• Included in the base pay range: $37,440 - $47,840 per year.
• Flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.

Pay

The pay range for this position is $37,440 - $47,840 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Schedule

This is a 100% remote position with 8-hour shifts scheduled Monday through Friday during standard business operating hours.