Provider Enrollment Specialist – Medicaid

🔥 8 minutes ago

🐻 Alaska, California, +5 more states – Remote

🐻 Alaska – Remote 🏄 California – Remote 🌺 Hawaii – Remote 🌽 Illinois – Remote 🦬 Montana – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote

💵 $16 - $17 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🤝 B2B

🛍️ eCommerce

🏛️ Government

💰 Venture Round on 2009-01

B2B • eCommerce • Government

Conduent is a leading provider of technology-led solutions aimed at enhancing customer experiences and improving operational efficiency for businesses and government agencies. The company offers a wide range of services, including customer experience management, finance and accounting solutions, human capital management, integrated digital solutions, and specialized services for healthcare and public sector clients. By leveraging automation and analytics, Conduent helps organizations streamline processes and drive business success.

📋 Description

• Review, process, and manage Medicaid provider enrollment and revalidation applications. • Verify all application data for accuracy, completeness, and compliance with Medicaid guidelines. • Identify missing or incomplete documentation and proactively follow up with providers to obtain required information. • Maintain detailed and accurate records of application status, outreach efforts, and supporting documentation. • Communicate effectively with providers regarding application requirements, deficiencies, and next steps. • Partner with client representatives and internal leadership to resolve pending questions, escalations, or barriers preventing application approval. • Monitor assigned workload to ensure timely processing and adherence to established turnaround times. • Escalate complex issues or policy-related questions to leadership as appropriate. • Maintain confidentiality and safeguard sensitive provider and organizational information. • Participate in team meetings, training sessions, and process improvement initiatives. • Assisting with other duties as assigned

🎯 Requirements

• High school diploma or equivalent required; some college preferred • 1–3 years of experience in healthcare administration, Medicaid enrollment, claims processing, or related transaction-based roles preferred. • Proficiency in Microsoft Office and data entry systems. • Experience working with Medicaid guidelines or provider enrollment systems is highly preferred. • Strong attention to detail and ability to review documents for accuracy and compliance preferred • Excellent written and verbal communication skills preferred • Ability to manage multiple applications simultaneously and meet productivity goals preferred

🏖️ Benefits

• Flexible work schedule with start times ranging between 7:45 AM to 8:30 AM MST • Career growth opportunities • Full Benefit Options day one • 401K and matching • Employee discount program • Full-Time employees are eligible for Dependent Care benefits that will assist with expenses from day care, after school programs or elder care programs