Provider Enrollment Specialist - Baton Rouge, LA

Summary

​As a Provider Enrollment Specialist - Baton Rouge, LA at Gainwell, 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

Essential Job Functions

• Answers telephones and responds to moderately complex customer questions and/or forwards call to appropriate personnel.
• Researches customer inquiries and responds to appropriate parties in a timely manner.
• Records calls, processes requests and updates account history with results of inquiry to include proper documentation.
• Processes and distributes incoming and outgoing mail for multiple clients in accordance with established service level agreements.
• Performs data entry and matches documents to appropriate accounts to verify up to date and accurate information.
• Interfaces with team personnel, management, and customers in reference to customer service issues.
• Reviews client reports on a weekly basis to ensure data integrity; prepares and submits report to management.
• Reviews and recommends modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions.
• Monitors daily transactions to ensure policy and procedures are in accordance with service level agreement.

What we're looking for

• High School Diploma or G.E.D. required
• Knowledge of the fundamental concepts and principles in the medical and/or insurance fields 
• Basic reading and analysis skills to evaluate claims and make adjudication decisions
• Basic computer use skills 
• Ability to multi-task across multiple applications to work efficiently 
• Ability to work independently to meet individual production goals

What you should expect in this role

• This is an onsite/office environment position in Baton Rouge, LA.
• Work schedule is Monday - Friday from 8:00 AM - 5:00 PM.
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• Harver Assessment Requirement: As part of our interview process, all candidates must complete the Harver Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities.