Provider Enrollment Associate - Medicaid
About The Position
The Transaction Processor Associate is responsible for processing Medicaid provider enrollment and revalidation applications accurately and efficiently. This role ensures applications are complete, compliant with state and federal guidelines, and processed within established service level agreements. The associate will collaborate with providers, internal leadership, and the client to resolve discrepancies and move applications through the approval process. Hours: Standard work hours are either 8:00 a.m. – 4:30 p.m. or 8:30 a.m. – 5:00 p.m. MST, Monday through Friday with the possibility of flexible hours.
Requirements
- High school diploma or equivalent required
- 1–3 years of experience in healthcare administration, Medicaid enrollment, claims processing, or related transaction-based roles preferred.
- Strong attention to detail and ability to review documents for accuracy and compliance.
- Excellent written and verbal communication skills.
- Ability to manage multiple applications simultaneously and meet productivity goals.
- Proficiency in Microsoft Office and data entry systems.
Nice To Haves
- Experience working with Medicaid guidelines or provider enrollment systems is highly preferred.
Responsibilities
- 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
Benefits
- Excellent Training
- Career Opportunities
- Great Culture
- Great Benefits
- Flexible work schedule with start times ranging between 7:45 AM to 8:30 AM MST
- Full Benefit Options day one
- 401K and matching
- Employee discount program
- Dependent Care benefits that will assist with expenses from day care, after school programs or elder care programs
- health insurance coverage
- voluntary dental and vision programs
- life and disability insurance
- a retirement savings plan
- paid holidays
- paid time off (PTO) or vacation and/or sick time
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
