Provider Enrollment Specialist

Provider Enrollment Specialist

BCforward is currently seeking a highly motivated Provider Enrollment Specialist for an opportunity in Austin, TX (Remote)!

Position Title: Provider Enrollment Specialist

Location: Austin, TX 78727 Remote

Anticipated Start Date: 01/05/2026

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 7+ Months

Job Type: [FULL TIME ], [CONTRACT], [REMOTE]

Pay Range: [20] - [22]

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Responsibilities:

Offering Description: Interact professionally with providers and ancillary staff to provide appropriate and timely responses to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs.

Process Description:

Minimum of 6 months of experience enrolling and credentialing healthcare providers.

Process to completion 100 of assigned applications and maintenance requests utilizing documented work instructions, daily and meeting minimum daily quotas.

Identify deficiencies to notify providers of incomplete and inaccurate applications, revising existing deficiencies and sending corrections based on QA audits as required.

Respond to inquiries regarding the status of applications received.

Research and contact providers via phone to resolve enrollment application deficiencies.

Skills Description:

Mid to high-level computer skills including the Microsoft Office suite of products

Professional with a minimum 1 year in a customer service/data entry or related experience

Would be nice to have skills:

Detail oriented and quality focus delivering timely assessments and data entry

Excellent verbal and written communication skills

Function independently and use critical thinking to analyze enrollments

Self-motivated and independent while being able to accept direction with completion of tasks

Adapt to changes in strategy or approach as needed in a fast-paced, innovative environment

Willingness to learn a variety of enrollment types

Commit to ongoing learning to maintain competence in assigned tasks

Roles and responsibilities:

Adhere to the Quality Assurance program to improve the daily processing of applications and file maintenance transactions with a minimum quality score of 98 percent.

Makes recommendations to management to improve efficiency/effectiveness of current processes. Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements.

Flexibility to work overtime as dictated by daily production inventory requirements.

Perform other duties as assigned by leadership.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

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About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 247140 when responding to this ad.

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