Provider Revalidation Field Representative - Delaware

Gainwell Technologies LLC•Newark, DE

17h•$35,000 - $50,000•Hybrid

About The Position

The Provider Revalidation Field Representative serves as the primary liaison between Gainwell, state Medicaid programs, and the provider community. This role supports provider enrollment and revalidation initiatives to ensure healthcare providers remain compliant with CMS, state, and federal participation requirements. The Provider Revalidation Field Representative partners directly with healthcare providers to drive successful completion of provider enrollment and revalidation activities. This role serves as a trusted resource, helping providers navigate Medicaid participation requirements, maintain regulatory compliance, and avoid disruptions in reimbursement or network participation.

Requirements

Two (2) or more years of experience in provider enrollment, provider relations, credentialing, healthcare operations, medical billing, customer service, Medicaid, Medicare, or a related healthcare environment.
Experience working with healthcare providers, physician offices, clinics, hospitals, behavioral health providers, long-term care facilities, or other healthcare organizations.
Strong verbal and written communication skills with the ability to educate providers, build professional relationships, and deliver excellent customer service.
Strong organizational, analytical, and problem-solving skills with the ability to manage multiple priorities and deadlines.
Proficiency with Microsoft Office applications, including Excel, Outlook, Word, and Teams.

Responsibilities

Conduct proactive outreach to healthcare providers regarding enrollment, revalidation requirements, deadlines, and compliance expectations.
Serve as the primary point of contact for providers throughout the revalidation process, ensuring timely completion of required documentation and corrective actions.
Research and resolve provider inquiries related to enrollment, revalidation, credentialing, participation requirements, claims, and billing operations.
Deliver provider education through individual consultations, webinars, workshops, presentations, and outreach activities designed to improve provider engagement and compliance.
Monitor provider participation and revalidation progress while collaborating with internal teams to improve completion rates and provider satisfaction.