Job Description:
• Review, process, and manage Medicaid provider enrollment and revalidation applications.
• Verify all application data for accuracy, completeness, and compliance with Medicaid guidelines.
• Identify missing or incomplete documentation and proactively follow up with providers to obtain required information.
• Maintain detailed and accurate records of application status, outreach efforts, and supporting documentation.
• Communicate effectively with providers regarding application requirements, deficiencies, and next steps.
• Partner with client representatives and internal leadership to resolve pending questions, escalations, or barriers preventing application approval.
• Monitor assigned workload to ensure timely processing and adherence to established turnaround times.
• Escalate complex issues or policy-related questions to leadership as appropriate.
• Maintain confidentiality and safeguard sensitive provider and organizational information.
• Participate in team meetings, training sessions, and process improvement initiatives.
• Assisting with other duties as assigned
Requirements:
• High school diploma or equivalent required; some college preferred
• 1–3 years of experience in healthcare administration, Medicaid enrollment, claims processing, or related transaction-based roles preferred.
• Proficiency in Microsoft Office and data entry systems.
• Experience working with Medicaid guidelines or provider enrollment systems is highly preferred.
• Strong attention to detail and ability to review documents for accuracy and compliance preferred
• Excellent written and verbal communication skills preferred
• Ability to manage multiple applications simultaneously and meet productivity goals preferred
Benefits:
• Flexible work schedule with start times ranging between 7:45 AM to 8:30 AM MST
• Career growth opportunities
• Full Benefit Options day one
• 401K and matching
• Employee discount program
• Full-Time employees are eligible for Dependent Care benefits that will assist with expenses from day care, after school programs or elder care programs