Provider Enrollment Specialist – Medicaid

GeneralGeneralFull TimeRemoteJuniorTeam 10,001+Since 2017H1B SponsorCompany SiteLinkedIn

Location

Alaska + 6 moreAll locations: Alaska | California | Hawaii | Illinois | Montana | New York | Massachusetts

Posted

2 days ago

Salary

$16 - $17 / hour

Seniority

Junior

High School1 yr expEnglish

Job Description

Provider Enrollment Specialist – Medicaid

Conduent

• Review, process, and manage Medicaid provider enrollment and revalidation applications. • Verify all application data for accuracy, completeness, and compliance with Medicaid guidelines. • Identify missing or incomplete documentation and proactively follow up with providers to obtain required information. • Maintain detailed and accurate records of application status, outreach efforts, and supporting documentation. • Communicate effectively with providers regarding application requirements, deficiencies, and next steps. • Partner with client representatives and internal leadership to resolve pending questions, escalations, or barriers preventing application approval. • Monitor assigned workload to ensure timely processing and adherence to established turnaround times. • Escalate complex issues or policy-related questions to leadership as appropriate. • Maintain confidentiality and safeguard sensitive provider and organizational information. • Participate in team meetings, training sessions, and process improvement initiatives. • Assisting with other duties as assigned

Job Requirements

  • High school diploma or equivalent required; some college preferred
  • 1–3 years of experience in healthcare administration, Medicaid enrollment, claims processing, or related transaction-based roles preferred.
  • Proficiency in Microsoft Office and data entry systems.
  • Experience working with Medicaid guidelines or provider enrollment systems is highly preferred.
  • Strong attention to detail and ability to review documents for accuracy and compliance preferred
  • Excellent written and verbal communication skills preferred
  • Ability to manage multiple applications simultaneously and meet productivity goals preferred

Benefits

  • Flexible work schedule with start times ranging between 7:45 AM to 8:30 AM MST
  • Career growth opportunities
  • Full Benefit Options day one
  • 401K and matching
  • Employee discount program
  • Full-Time employees are eligible for Dependent Care benefits that will assist with expenses from day care, after school programs or elder care programs

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