Provider Enrollment Lead - Remote Idaho

Gainwell Technologies LLC•Any city, OH

3d•$31,400 - $44,800•Remote

About The Position

Gainwell is seeking a Provider Enrollment Lead to support the daily work of a provider enrollment team. You will monitor enrollment activities and service levels, assist with enrollment, maintenance, and revalidation work, train and support team members, research provider questions, and review reports for accuracy. You will also help update procedures and workflows as payer and regulatory requirements change. Your role in our mission is to monitor daily provider enrollment operations, reports, and workloads to support service-level requirements for enrollment, maintenance, and revalidation. You will train and mentor provider enrollment staff, answer process questions, and provide day-to-day guidance to team members. You will process and support provider enrollment, maintenance, and revalidation activities and research moderately complex provider or customer questions. You will review reports and daily transactions for accuracy and data integrity and ensure work follows established policies, procedures, and service-level requirements. You will also help develop and improve provider enrollment policies, procedures, and workflows and incorporate payer or regulatory changes into daily processes.

Requirements

High school diploma or GED and 2+ years of provider enrollment experience.
Hands-on experience with provider enrollment processes, including enrollment, maintenance, and/or revalidation.
Experience reviewing provider enrollment transactions, reports, or data for accuracy and resolving enrollment-related questions or issues.
Experience training, mentoring, or providing process guidance to team members, along with strong organization and time-management skills.
Strong written and verbal communication and computer skills, including proficiency with Microsoft Office and experience using business or provider enrollment systems.

Responsibilities

Monitor daily provider enrollment operations, reports, and workloads to support service-level requirements for enrollment, maintenance, and revalidation.
Train and mentor provider enrollment staff, answer process questions, and provide day-to-day guidance to team members.
Process and support provider enrollment, maintenance, and revalidation activities and research moderately complex provider or customer questions.
Review reports and daily transactions for accuracy and data integrity and ensure work follows established policies, procedures, and service-level requirements.
Help develop and improve provider enrollment policies, procedures, and workflows and incorporate payer or regulatory changes into daily processes.