Job Overview:
We are seeking a highly organized and detail-oriented Provider Enrollment Specialist to join our team. As a Provider Enrollment Specialist, you will be responsible for ensuring that providers are enrolled with Medicaid in multiple states. Your attention to detail and knowledge of industry standards will be crucial in maintaining compliance and ensuring the highest level of quality care. Medicaid knowledge is a must please do not apply if you do not have Medicaid provider and facility enrollment experience.
Responsibilities:
- Manage the Medicaid enrollment for Medicaid for Facilities and healthcare providers, including physicians, nurses, and other medical professionals.
- Review and verify provider applications, ensuring accuracy and completeness
- Review all required documents, including education, training, licensure, and work history
- Maintain up-to-date provider files and databases
- Collaborate with internal teams to ensure compliance with regulatory requirements
- Communicate with providers to obtain missing or additional documentation as needed
- Stay current on industry standards and changes in credentialing requirements / FQHC experience is preferred but not necessary.
- Assist with audits and quality improvement initiatives related to credentialing
Requirements:
- High school diploma or equivalent.
- Previous experience in Medicaid Enrollments for Multiple States, FQHC experience is preferred but not required.
- Strong knowledge of medical terminology and industry standards
- Familiarity with credentialing/ Enrollment processes and requirements
- Excellent attention to detail and organizational skills
- Proficient computer skills, including experience with database management systems
- Strong written and verbal communication skills
- Ability to work independently and prioritize tasks effectively
Job Type: Full-time
Pay: $20.00 - $22.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Experience:
- Provider Enrollment in Medicaid: 2 years (Required)
Location:
Work Location: Remote