Provider Enrollment Specialist - Saint Thomas, U.S. Virgin Islands (Onsite)

Gainwell Technologies LLC • Saint Thomas, VI

11d • $33,500 - $47,900 • Onsite

About The Position

Provider Enrollment Specialists support provider enrollment, maintenance, and renewal activities for the Medicaid program. The role reviews and processes Medicaid provider enrollment applications, renewals, and maintenance requests in accordance with Medicaid-approved guidelines, the ACA, and other federal requirements and procedures. This is an onsite position based at the Saint Thomas office, and candidates must live within a reasonable commuting distance.

The role requires healthcare enrollment or credentialing experience, the ability to independently research information and follow written policies, procedures, and government and healthcare guidelines, as well as strong organizational, time-management, and communication skills. A skills and competency assessment is required during the interview process. Video cameras must be on during interviews and throughout the first week of orientation.

Requirements

• High school diploma or equivalent.
• Ability to read, write, and speak English proficiently.
• Two years of working experience in healthcare, enrollment, credentialing, or related fields.
• Ability to follow written policies, operating and maintenance instructions, procedure manuals, and government and healthcare guidelines.
• Self-motivation, good time-management skills, and organizational skills.
• Excellent written and verbal communication skills.
• Must reside within a reasonable commuting distance of the Saint Thomas office.
• Must complete a skills and competency assessment during the interview process.
• Video cameras must be on during all interviews and throughout the first week of orientation.

Nice To Haves

• Healthcare enrollment or credentialing experience is desired.
• Fluency in both English and Spanish is preferred but not required.

Responsibilities

• Review and process Medicaid provider enrollment applications.
• Process provider renewals and maintenance requests.
• Follow Medicaid-approved guidelines, ACA requirements, and other applicable federal requirements and procedures.
• Perform extensive research independently.

Benefits

• Medical, dental, and vision benefits beginning on the first day of employment.
• 401(k) with company match.
• Flexible vacation policy available after 90 days of employment; exceptions require manager approval before the employee’s start date.
• Career growth and advancement opportunities.
• Company-provided computer for work use.
• Educational assistance.
• Leadership and technical development academies.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED