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Provider Enrollment Specialist - Medicaid
Conduent
1d ago
0$33k - $35kOtherRemote, USjobspy_indeed
remoteindeed
Job Description
Through our dedicated associates, Conduent delivers mission\-critical services and solutions on behalf of Fortune 100 companies and over 500 governments \- creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
**Join the Conduent Provider Enrollment Team**
**No Weekends – Flexible Work Schedule**
**Enjoy a positive, employee\-friendly culture while playing an important role in supporting our clients.**
**We offer Excellent Training, Career Opportunities, a Great Culture, and Great Benefits!**
**About the Role**
The Provider Enrollment Specialist is responsible for processing Medicaid provider enrollment and revalidation applications accurately and efficiently. This role ensures applications are complete, compliant with state and federal guidelines, and processed within established service level agreements. The associate will collaborate with providers, internal leadership, and the client to resolve discrepancies and move applications through the approval process.
**Location – Remote US only**
**Pay Range: $16\-17/hr DOE \-** which may be below your state's minimum wage. Please take this into consideration when applying.
**Hours:**
Standard work hours are either 8:00 a.m. – 4:30 p.m. or 8:30 a.m. – 5:00 p.m. MST, Monday through Friday with the possibility of flexible hours. Onsite work is preferred with the possibility of remote options for candidates who meet qualifications and performance expectations. As a Transaction Processing Specialists, you will be responsible for:
* 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**
To be successful in this role you will:
* High school diploma or equivalent required; some college preferred
* 1–3 years of experience in healthcare administration, Medicaid enrollment, cl
