Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
As a Provider Enrollment Specialist - Baton Rouge, LA - Hybrid at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position.
Your role in our mission - Answers telephones and responds to moderately complex customer questions and/or forwards call to appropriate personnel.
- Researches customer inquiries and responds to appropriate parties in a timely manner.
- Records calls, processes requests and updates account history with results of inquiry to include proper documentation.
- Processes and distributes incoming and outgoing mail for multiple clients in accordance with established service level agreements.
- Performs data entry and matches documents to appropriate accounts to verify up to date and accurate information.
- Interfaces with team personnel, management, and customers in reference to customer service issues.
- Reviews client reports on a weekly basis to ensure data integrity; prepares and submits report to management.
- Reviews and recommends modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions.
- Monitors daily transactions to ensure policy and procedures are in accordance with service level agreement.
What we're looking for - Minimum of 1 year of experience in provider enrollment, credentialing, or a similar role within the healthcare or medical insurance industry.
- Strong understanding of medical insurance processes, including Medicare, Medicaid, and commercial insurance carriers. Familiarity with provider enrollment and credentialing requirements is essential.
- Advanced proficiency in healthcare management software, databases, and general office applications (e.g., Microsoft Office Suite).
- Exceptional accuracy and thoroughness in managing complex documentation and ensuring compliance with regulatory standards.
- Capability to analyze data, identify trends, and troubleshoot issues related to provider enrollment and credentialing.
- Call center experience.
What you should expect in this role - This is a hybrid position in Baton Rouge, LA
- Work schedule is Monday - Friday, from 8:00 AM to 5:00 PM CST.
- Video cameras must be used during all interviews, as well as during the initial week of orientation.
#LI-HYBRID #LI-JA1 #LI-CM
- Minimum of 1 year of experience in provider enrollment, credentialing, or a similar role within the healthcare or medical insurance industry.
- Strong understanding of medical insurance processes, including Medicare, Medicaid, and commercial insurance carriers. Familiarity with provider enrollment and credentialing requirements is essential.
- Advanced proficiency in healthcare management software, databases, and general office applications (e.g., Microsoft Office Suite).
- Exceptional accuracy and thoroughness in managing complex documentation and ensuring compliance with regulatory standards.
- Capability to analyze data, identify trends, and troubleshoot issues related to provider enrollment and credentialing.
- Call center experience.
What you should expect in this role - This is a hybrid position in Baton Rouge, LA
- Work schedule is Monday - Friday, from 8:00 AM to 5:00 PM CST.
- Video cameras must be used during all interviews, as well as during the initial week of orientation.
#LI-HYBRID #LI-JA1 #LI-CM
#LI-HYBRID #LI-JA1 #LI-CM
The pay range for this position is $33,500.00 - $47,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
