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Provider Enrollment Specialist - Remote

Date:  Aug 6, 2022

Any city, AK, US, 99999

Req ID:  11679

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.


HMS, a Gainwell Technologies Company  
HMS is hiring Provider Enrollment Processors who will be responsible for enrolling providers in the State Medicaid program. Their duties include processing applications and requests, entering and confirming data, and responding to queries from providers and internal sources

Your role in our mission

•    Processes and returns moderately complex provider applications/requests.
•    Enters data and confirms provider information entered or already in the system for application tracking purposes.
•    Processes written correspondence for provider maintenance.
•    Researches problem areas and documents processes used to correct issues.
•    Responds to internal and external inquiries relating to enrollment questions.
•    Tracks and logs all provider inquiries. 
•    Corresponds and returns applications, providing clear direction to providers.
•    Ensures proper policy and guidelines are being followed by using the User and Operating procedure manuals.
•    Assists in training of team members and customer contacts on routine matters.

What we’re looking for

•    Two or more years of credentialing experience, medical billing experience, or healthcare experience.
•    Ability to demonstrate professionalism when communicating with providers and customers. Ability to effectively work independently to prioritize and handle multiple tasks and work under aggressive time constraints. Ability to work with details and follow directions.
•    Excellent critical thinking, analytical, problem solving, and decision-making skills. Strong computer skills and knowledge of Microsoft Office applications.
•    Ability to use multiple window-based screens to perform work.
•    Ability to be well organized, track and follow up on assignments, and work under high production standards.


What you should expect in this role

Work-from-home (WFH); or Hybrid model including in-office and WFH days to be defined. For positions assigned to WFH, reliable high-speed internet connectivity is required.  Employees working-from-home may be required to report to the office, at times, to support work efforts.  


The pay range for this position is $28,800.00 - $36,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at HMS, a Gainwell Company. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.


We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with HMS, a Gainwell Company, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.


HMS, a Gainwell Company is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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