Provider Enrollment Specialist

State of Utah•Salt Lake City, UT

12d•Hybrid

About The Position

This position is for a Provider Enrollment Specialist, a full-time or part-time role with a salary range of $16.29 - $24.00 per hour. The position is hybrid, with a combination of remote and in-office work. The primary functions include answering customer service calls regarding provider enrollment and credentialing, and enrolling medical providers into the Medicaid system. The specialist will respond to inquiries via phone, electronic, fax, and mail, and explain Medicaid policies and guidelines. The role requires being logged into the phone system for up to 7 hours a day and handling 40 to 60 calls daily. The job is located at 288 North 1460 West, Salt Lake City, Utah, 84116. A background check is required, but a drug test is not.

Requirements

Answers customer service calls regarding provider enrollment applications, credentialing and validations from providers.
Enters, retrieves and/or corrects applications as needed in the PRISM system.
Receives, researches and responds to incoming questions or complaints; provides information, explains policy and procedures, and/or facilitates a resolution.
Prepares supporting documentation for policy/procedure changes for policy review.
Writes or drafts correspondence, reports, documents and/or other written materials.
Must reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
Must successfully pass a criminal history check.

Nice To Haves

Spanish speaking skills
Prior professional working experience with provider enrollment or credentialing

Responsibilities

Answer incoming customer service calls from the medical community and public regarding provider enrollment credentialing, and other related information to enroll medical providers into the Medicaid system.
Respond to phone, electronic, fax and mail inquiries regarding the status of provider applications.
Explain and interpret Medicaid policies, guidelines, benefits and procedures regarding Medicaid.
Be logged into the phone system for up to 7 hours/day and take between 40 to 60 calls a day.
Enter, retrieve and/or correct applications as needed in the PRISM system.
Receive, research and respond to incoming questions or complaints; provide information, explain policy and procedures, and/or facilitate a resolution.
Prepare supporting documentation for policy/procedure changes for policy review.
Write or draft correspondence, reports, documents and/or other written materials.