Provider Revalidation Field Representative

🕒 September 13

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $35k - $50k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

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

• Conduct proactive outreach to healthcare providers regarding enrollment, revalidation requirements, deadlines, and compliance expectations • Serve as the primary point of contact for providers throughout the revalidation process • Ensure timely completion of required documentation and corrective actions • Research and resolve provider inquiries related to enrollment, revalidation, credentialing, participation requirements, claims, and billing operations • Deliver provider education through individual consultations, webinars, workshops, presentations, and outreach activities • Monitor provider participation and revalidation progress • Collaborate with internal teams to improve completion rates and provider satisfaction • Support provider revalidation initiatives that help ensure continued access to care for Medicaid members • Build relationships with healthcare providers and serve as a trusted resource throughout enrollment and revalidation • Collaborate with Provider Enrollment, Operations, Compliance, Quality Assurance, and Client teams • Receive training on state-specific provider enrollment and revalidation requirements • Travel within the assigned Northern Louisiana territory may be required based on project and business needs

🎯 Requirements

• Must currently reside in Northern Louisiana • Two (2) or more years of experience in provider enrollment, provider relations, credentialing, healthcare operations, medical billing, customer service, Medicaid, Medicare, or a related healthcare environment • Experience working with healthcare providers, physician offices, clinics, hospitals, behavioral health providers, long-term care facilities, or other healthcare organizations • Strong verbal and written communication skills • Ability to educate providers, build professional relationships, and deliver excellent customer service • Strong organizational, analytical, and problem-solving skills • Ability to manage multiple priorities and deadlines • Proficiency with Microsoft Office applications, including Excel, Outlook, Word, and Teams

🏖️ Benefits

• 100% remote work • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Work flexibility, learning, and career development opportunities