Provider Enrollment Specialist -Remote WV

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

Gainwell Technologies is responsible for all Provider Enrollment and Management functions for the Commonwealth of Virginia Department of Medical Assistance Services.

The primary role of a Senior Associate Customer Support for the Virginia Medicaid Provider Enrollment Services is to provide exceptional customer support for incoming and outgoing Provider Enrollment Applications and Management Inquiries.

Your role in our mission

Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.

• Answers telephones and responds to highly complex customer questions and/or forwards call appropriate personnel searches over inquiries and responds to appropriate parties promptly. Records calls accesses requests, and updates account history with results of inquiry to include proper documentation.
• Processes and distributes incoming and outgoing mail for multiple clients by established service-level agreements.
• Performs data entry and matches documents to appropriate accounts to ensure up-to-date and accurate information.
• Interfaces with team members, management, and customers about customer service issues.
• Reviews client reports every week to ensure data integrity; prepares and submits reports to management.
  
  

What we're looking for

• Knowledge of the Commonwealth of Virginia Department of Medical Assistance Service (DMAS) Program and Policies
• Previous call center experience with provider enrollment and management of provider information for a Medicaid program, or other healthcare organization(s).
• Previous experience in data entering and utilizing a documentation application to record incoming and outgoing call inquiries.
• Ability to answer calls according to documented business requirements and performance standards.
• Ability to professionally interface with internal customers, DMAS, and the provider community.
  
  

What you should expect in this role

• Minimum of 1 year experience in a healthcare-related field
• The candidate must complete the assessment before moving forward in the process
• Candidates must live in the Charleston, WV area or in a 30-mile radius of Charleston, WV.
  
  

The pay range for this position is $39,100.00 - $55,900.00 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.