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Customer Service Specialist – Provider Enrollment
Staffing Solutions Organization LLCRemote provider enrollment specialist supporting HCBS applicants and providers. Reviewing applications, requesting documents, and coordinating compliance and quality reviews.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong organizational skills and attention to detail while managing multiple applications and coordinating with remote teams. Proficient in providing clear communication and instructions to applicants and providers regarding documentation and requirements.
Highest-signal resume keywords
Customer Service ExperienceApplication Review and MonitoringClear Written and Verbal CommunicationExperience with Excel, Outlook, Teams, and SharePointProvider Training and Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Application ScreeningDocument ReviewProvider MonitoringMedicaid BillingQuality AssuranceData EntryCompliance Referral
Soft Skills
Attention to DetailOrganizationIndependenceCollaboration
Tools & Technologies
ExcelOutlookTeamsSharePoint
Industry Keywords
Home and Community-Based ServicesPublic Health ProvidersCritical Care ProvidersCommunity Health ProgramsSpecial Populations
About the role
Key responsibilities & impact- Support applicants and enrolled providers for home and community-based waiver services
- Provide education and resources regarding provider requirements
- Screen and review applications and request documents needed to complete applications
- Respond to incoming calls, messages, and email from applicants and providers
- Coordinate with the project management team to refer HCBS-unrelated questions to the appropriate department or team
- Enter clear, concise contact notes summarizing interactions and communications
- Screen applications and notify project management of potential compliance referrals
- Review and return applications with incomplete documents
- Forward complete applications for QA and quality review
- Conduct phone and email outreach to assist with submitting application documents and completing applications
- Perform other related duties as assigned
Requirements
What you’ll need- 2 years of customer service experience
- High school diploma or equivalent required
- Strong organization, attention to detail, and accuracy
- Ability to manage review and follow-up on 40+ applications with varying document requirements
- Clear written and verbal communication skills
- Ability to provide clear instructions on documents, requirements, and next steps
- Ability to work independently while coordinating closely with a remote team
- Experience using Excel, Outlook, Teams, and SharePoint
- Comfortable learning new systems and processes
- Minimum of two years of paid experience working with critical care providers, public health providers, or providers serving children, older adults, persons with traumatic brain injury, or persons with developmental disabilities
- One year of experience must include provider monitoring, Medicaid or third-party payer provider billing, or provider training
- One year of experience must be in a home health program, community health program, hospital, private practice, publicly funded institution, long-term care program, mental health program, community-based social service program, or another program addressing special populations
- Alternatively, 36 months of paid experience working with providers may substitute for a bachelor's degree and two years of paid experience
- Must be available Monday-Friday, 7:30 AM–5:30 PM Eastern
- Bachelor's degree and two years of paid provider experience preferred
Benefits
Comp & perks- Medical, dental, and vision insurance
- 401(k) with discretionary employer match
- Paid time off and paid holidays
- Flexible spending accounts (FSA)
- Additional employee perks