Provider Enrollment Specialist Warwick, RI

Gainwell Technologies LLCSummary Job Description Supports the business process services team in delivering efficient and effective outsourced processes and services within a specific industry and functional area to meet objectives and quality standards for clients. Completes work with a limited degree of supervision. Demonstrates specialized business skills acquired through job-related training and considerable on-the-job experience. May act as an informal resource for colleagues with less experience. Identifies key issues and patterns from partial/conflicting data. Takes a broad perspective to problems and spots new, less obvious solutions. Supports the business process services team in delivering efficient and effective outsourced processes and services within a specific industry and functional area to meet objectives and quality standards for clients. Completes work with a limited degree of supervision. Demonstrates specialized business skills acquired through job-related training and considerable on-the-job experience. May act as an informal resource for colleagues with less experience. Identifies key issues and patterns from partial/conflicting data. Takes a broad perspective to problems and spots new, less obvious solutions. Duties: The Provider Enrollment Specialist will be responsible for supporting provider enrollment/screening into the Rhode Island Medicaid program. Primary responsibilities include reviewing and processing Medicaid, provider enrollment applications according to Rhode Island Medicaid approved enrollment guidelines, ACA, and other federal requirements and procedures. Update and maintain accurate provider files which includes documenting information such as license, Social Security Numbers, Tax ID numbers, and any other changes to the provider file. Respond to written correspondence received from providers relating to enrollment issues as needed. Ensure all departmental and Rhode Island Medicaid quality and quantity standards are met. Upholds customer confidence and protects operations by keeping information confidential. The role will require knowledge of Windows based programs and a familiarity with basic office equipment. Will be working with both Gainwell Technologies and State liaison each day. Education and Experience: High School Diploma or equivalent; may hold 2 year post-high school Degree; may hold Bachelor''s degree. Able to read, write and speak English proficiently Excellent written and oral communication skills. Knowledge and Skills: Customer service experience Ability to perform extensive research independently Ability to follow written policies, procedures and guidelines, and give feedback to leadership. Intermediate-level knowledge of operating systems. Self-motivated with good time management and organizational skills. Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines. Excellent written and verbal communication skills Job Description Qualifications

Created: 2021-11-29