Provider Enrollment Customer Service Representative

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Resonance CX Partners
  • Consulting
  • FlexTime
  • FullTime

Resonance CX Partners’ mission is to help experienced professionals find opportunities that truly align with their values. We are not a staffing firm or agency. Resonance CX does not hire for these positions—we identify and validate them from customer-focused organizations directly.

Employer Industry: Government Healthcare Services

Why Consider This Job Opportunity

  • Salary up to $38,499
  • Opportunity for meaningful career growth and advancement within a well-respected agency
  • Flexible remote work options available, promoting a better work/life balance
  • Comprehensive benefits package, including paid vacation, sick leave, and parental leave
  • Supportive work environment with high employee engagement and satisfaction
  • Chance to make a positive impact on healthcare access for Arizonans

What To Expect (Job Responsibilities)

  • Assist AHCCCS Providers in processing applications, answering questions, and collecting necessary information
  • Conduct site visits to evaluate compliance with CMS Medicaid requirements and provider services
  • Determine provider eligibility based on CMS guidelines and conduct in-depth screening
  • Act as an AMS Team Lead on projects, sharing results and suggesting process improvements
  • Maintain expert knowledge of relevant statutes, rules, and policies to ensure compliance

What Is Required (Qualifications)

  • Minimum of two and a half years of experience in a multi-functional customer service environment
  • Knowledge of Medicaid programs and CMS guidelines
  • Strong communication skills, both verbal and written
  • Ability to work independently and as part of a team
  • Proficient in using computer systems, including word processing and database applications

How To Stand Out (Preferred Qualifications)

  • Experience working in medical eligibility, enrollment, or claims processing
  • Bilingual (Spanish) skills are a plus
  • Familiarity with healthcare computer systems such as APEP

GovernmentHealthcare #CustomerService #RemoteWork #CareerGrowth #HealthcareAccess

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

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