Provider Enrollment Specialist

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🎰 Nevada – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Gainwell Technologies

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Responsible for supporting provider enrollment into the State of Nevada Medicaid Program • Review and process Medicaid, provider enrollment, and revalidation applications according to Nevada Medicaid enrollment guidelines • Use multiple websites to screen and make determinations about meeting state requirements • Perform and document outreach to providers through phone calls and emails to ensure accurate documentation for enrollment • Work directly with the client to review and obtain necessary approvals on applications

🎯 Requirements

• Minimum of two years working experience in a customer service role • Strong organizational skills • Ability to work with minimum supervision and resolve problems/issues promptly and effectively • Strong verbal and written communication skills • At least 2 years of provider enrollment experience is highly desired

🏖️ Benefits

• Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies

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