Provider Enrollment Analyst
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Job Description
Provider enrollment analyst processing healthcare provider applications and records for Gainwell Technologies. Supporting California healthcare operations remotely during Pacific Time business hours.
Responsibilities:
- Review, process, and maintain healthcare provider enrollment applications, updates, and supporting documentation
- Verify provider demographic information, National Provider Identifier (NPI), Tax Identification Number (TIN), and other enrollment-related information
- Research and resolve enrollment discrepancies, missing documentation, and provider-related issues
- Enter, update, and maintain provider information across multiple systems
- Meet established quality, productivity, and turnaround time expectations
- Collaborate with healthcare providers and internal teams to resolve enrollment issues
- Maintain regulatory compliance and identify opportunities for process improvement
- Support California healthcare provider enrollment operations
Requirements:
- Minimum of 2 years of experience in healthcare provider enrollment, provider services, healthcare operations, claims processing, credentialing, or a related healthcare administrative role
- Experience reviewing and processing healthcare provider information, enrollment applications, or provider records
- Familiarity with Medicaid, Medicare, Medi-Cal, managed care, or other healthcare payer operations preferred
- Strong attention to detail and analytical skills
- Ability to research discrepancies and maintain accurate records
- Proficiency with Microsoft Office applications
- Ability to navigate multiple systems, manage competing priorities, and meet productivity and quality expectations
- Availability to work Monday through Friday during Pacific Time business hours
- Professional, secure, and distraction-free home workspace with reliable high-speed internet access
- Successful completion of required job-related assessments, background investigation, and training
Benefits:
- Work flexibility
- Learning and career development
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
- Work-from-home arrangement
- Reliable high-speed internet access required for home workspace
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