Provider Enrollment Specialist

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary 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. Requirements of this role include delivering the highest quality end-to-end service and support, by concise communications, through analysis and adherence to timely response deliverables. Specialists provide, build, maintain, and promote positive relationships through a vast array of consistent engagements with key stakeholders.

• Your role in our mission
• 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