Provider Enrollment Specialist - Remote US

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

As a Provider Enrollment Specialist - Remote US at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.

• The Provider Enrollment will be responsible for supporting provider enrollment/screening into the Rhode Island Medicaid program.
• Primary responsibilities include reviewing and processing Medicaid, and provider enrollment applications according to Medicaid-approved enrollment guidelines, ACA, and other federal requirements and procedures. 
• Update and maintain accurate provider files, including documenting information such as license, Social Security Numbers, Tax ID numbers, and any other changes to the provider file. 
• Respond to written correspondence received from providers relating to enrollment issues as needed. 
• Ensure all departmental and Medicaid quality and quantity standards are met. 
• Uphold customer confidence and protect operations by keeping information confidential.
• The role will require knowledge of Windows-based programs and a familiarity with basic office equipment. 
• Will be working with both Gainwell Technologies and State liaison each day.    

What we're looking for

• Customer service experience 
• Ability to perform extensive research independently 
• Ability to follow written policies, procedures and guidelines, and give feedback to leadership. 
• Self-motivated with good time management and organizational skills. 
• Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines. 

What you should expect in this role

• The candidate must complete the assessment before moving forward in the process
• This is a 100% remote position.
• Business hours are 8:00 am ET - 5:30 pm ET.

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