Provider Enrollment Specialist - Remote US

Date: Apr 3, 2024

Location:

Any city, AK, US, 99999

Req ID: 23443

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.

Summary

HMS is hiring a Provider Enrollment Specialist for the Alaska MMIS Fiscal Agent contract. The Provider Enrollment Specialists for HMS are responsible for interfacing with Providers, working with applications, and completing data entry duties related to Provider Enrollment.

As Provider Enrollment Specialist - Remote US, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

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.
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.
Other duties as assigned.

What we're looking for

One year 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. Ability to use multiple window-based screens to perform work. Strong computer skills and knowledge of Microsoft Office applications.
Excellent analytical, problem solving, and decision-making skills. Ability to be well organized and work under high production standards.
Ability to track and follow up on assignments and enrollment applications.

What you should expect in this role

Video cameras must be used during all interviews, as well as during the initial week of orientation.
Remote Work Environment (Work-from-Home)
Full-time (40 hours a week)
Most benefits start on first day of employment
In order to effectively work as a teleworker with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide better performance.
To Test your internet download and upload speed:
Go to Google
Search for Internet Speed Test or click here.

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The pay range for this position is $37,500 - $53,500 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.