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Join a dynamic, mission-driven team dedicated to supporting healthcare providers across Medicaid programs. As a Provider Enrollment Specialist, you’ll play an essential role in ensuring providers are enrolled accurately and efficiently, helping them deliver critical services to members in need. This is a fully remote position offering excellent benefits, company-provided equipment, and a supportive work environment that values growth and professionalism.
Job Responsibility:
Handle a high volume of incoming calls and emails from healthcare providers
Assist providers with application deficiencies and documentation requirements
Process provider enrollment and file maintenance requests accurately and on time
Maintain production and quality standards, including a minimum 98% QA score
Research incomplete applications and follow up with providers to ensure completion
Identify and resolve application issues using critical thinking and standard procedures
Maintain strict confidentiality of sensitive provider and healthcare information
Participate in process improvement initiatives and team meetings
Update system records and track provider interactions accurately
Stay up-to-date with Medicaid enrollment policies and best practices
Requirements:
High school diploma or equivalent
Minimum 1 year of customer service or data entry experience
At least 6 months of experience in healthcare credentialing or provider enrollment preferred
Strong verbal and written communication skills
Excellent attention to detail and organizational abilities
Proficiency in Microsoft Office and ability to navigate multiple systems
Self-motivated and capable of working independently in a remote environment
Bilingual (English/Spanish) preferred
Must provide full address prior to interview
Nice to have:
Bilingual (English/Spanish) preferred
What we offer:
Health Benefits Offered
Fully remote position with company-provided equipment