About this role
Job title: Provider Enrollment Specialist
About the Role 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). This position is responsible to educate, support and validate achievement of outlined enrollment requirements and process initial and maintenance applications.
What You'll Do
- 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
What We're Looking For
- 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
Compensation & Benefits
- Eligible employees may participate in Gainwell’s comprehensive benefits program, which includes medical, dental, vision, 401(k), paid time off, and other employee wellness and support programs.
- This posting notes a comprehensive benefits package, including generous, flexible vacation policy, 401(k) employer match, comprehensive health benefits, and educational assistance.
- Gainwell also offers leadership and technical development academies to help build your skills.
- This posting is intended for pipelining. Applications will be accepted on an ongoing basis.