Job Details – Jobs and Careers | Gainwell

Job Description:

Processing Provider Enrollment applications submitted by Medicaid enrolled providers.
Working on complex Provider Enrollment applications that are under strict deadlines.
Ensuring Provider Enrollment applications are following Medicaid policy and procedures.
Working with both Gainwell and State employees.
Providing outreaches to providers if needed.

Processing 377+ applications through analyst review within a week, with 0 errors identified.
Processing 213+ applications through quality review within a week, with 0 errors identified.

Education and Experience:

High School Diploma or equivalent; may hold 2 year post- high school Degree; may hold Bachelor’s degree.

Knowledge and Skills:

Ability to follow written policies, procedures and guidelines.
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 and customer service skills.
Insurance background preferred.
Provider Enrollment background preferred.
Experience with Medicaid policy preferred.
Experience with Medicaid Provider Enrollment submissions preferred.
Knowledge of Medicaid systems desired.
Ability to access and retrieve information using a PC and basic understanding of Microsoft office products.
Ability to work on assignments with limited instruction from leadership.
Ability to work under pressure with strict deadlines.
Multitasking and detail oriented.

Being flexible to learn another provider type/application in order to help the department succeed