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T
TEKsystems
Medicaid Provider Enrollment Credentialing Specialist
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What they do
An Enrollment Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. Assists eligible applicants with enrolling in a program.
$56,414 / year median in the U.S.
+8% projected growth
Job Description
Description Manage end-to-end Medicaid enrollment processes for healthcare providers Review daily email communications for application approvals and requests Track and update enrollment statuses across spreadsheets and internal systems Submit requests and complete actions on behalf of providers once authorization is granted Conduct outreach to providers to gather missing documentation or required information Follow up on submitted applications approximately every 15 days Maintain accurate records and ensure all data is properly documented Handle a high volume of requests (approximately 20-70 requests per day) Utilize templated email responses while maintaining a professional, warm, and clear communication style Follow structured follow-up cadence (initial outreach + up to two follow-ups spaced 5-7 days apart) Ensure all requests are legitimate and compliant before processing Support both straightforward enrollments and more complex new provider cases requiring additional guidance Additional Skills & Qualifications Minimum 1 year of relevant experience (Medicaid enrollment) Strong attention to detail and ability to follow processes accurately Comfortable working in a high-volume, fast-paced environment Proficiency with MacBook and Google Workspace (Gmail, Sheets, Docs) Strong written communication skills with the ability to remain professional, empathetic, and clear Ability to manage multiple tasks and stay organized across tools (email + spreadsheets) Self-starter mindset with strong problem-solving skills Familiarity with systems such as: PECOS (training provided) CAQH MacBook, Google Sheets Soft Skills & Core Competencies Strong work ethic and drive to succeed "Go-getter" attitude with initiative when facing challenges Resourceful and able to work through roadblocks independently Collaborative mindset while also comfortable working autonomously High level of diligence, especially when reviewing documentation Ability to stay organized and maintain focus under high workload Genuine care for quality of work and follow-through
- Must pass required screenings, including:
- OIG (Office of Inspector General) / LEIE screening Verification that candidate is not excluded from Medicaid participation Experience Level Intermediate Level Job Type & Location This is a Contract to Hire position based out of Mountain View, CA.
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position.