Job Information
Cogent Infotech Medicaid Provider Enrollment Revalidation Specialist in United States
**Remote - Fulltime - Competative Salary - Full Benefits This position is critical in processing Medicaid Health Care Provider’ s enrollment applications and provider updates within the States approval system. The primary functionality of this role includes Verification of provider credentials through various government agencies and license boards, reviewing the accuracy of provider demographic and billing information within the States system, and various data entry functions. Research, verify, and document provider credentialing information through various government agencies and license boards as part of provider enrollment regulations. Document communication notes and resolution outcomes Review the application and update submission in its entirety and confirm that all data is accurate, and all revalidation documents are completed and uploaded, ensuring that all verification documents are complete. Requirements:
3 Years in similar role, vast understanding of Medicaid and Provider enrollment
Knowledge of Medicaid provider credentialing standards and requirements
Assist Medicaid Providers on the processes, policies, and procedures within the State.
Track record of accomplishments and ability to document communication and outcomes effectively
Excellent organizational, communication and interpersonal skills
Strong customer service experience, preferably in a provider services call center or credentialing department
Strong oral and written skills with the ability to participate in webinars and seminars. Ability to effectively interact with leadership.
Work with State Management Staff daily to ensure that all Medicaid providers' applications have been submitted and approved.
Ability to perform comfortably in a fast-paced, deadline-oriented work environment
Proficient in Microsoft Office (PowerPoint, Word, Excel and Outlook)
Ability to work as a team member as well as independently
Ability to successfully execute many complex tasks simultaneously
Experience in a health care environment Understanding of provider billing practices and claim processing is preferred
Physical Requirements must be able to remain in a stationary position for an extended period.
Education: Bachelor’s degree in business administration, Public Administration, OR equivalent workplace experience equivalent to four (4) years of college. CI-21