Provider Services - Enrollment Maintenace Specialist (EMS)

Job Overview

‍Company Description

Intervoice is a leading Project Management and Consulting firm in San Juan with over a decade of experience delivering innovative solutions to complex business challenges. The company is committed to empowering clients with cutting-edge project management methodologies and the expertise of seasoned professionals, ensuring a successful 360-degree client experience.

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Role Description

We are seeking detail-oriented and analytical Enrollment Maintenance Specialists (EMS) to support Medicaid provider enrollment and maintenance processes. The EMS is responsible for reviewing documentation, verifying licensure, and processing updates to provider records in compliance with federal, state, and organizational standards. The ideal candidate will be highly organized, fully bilingual in English and Spanish, and comfortable working with sensitive healthcare data.

Role Responsibilities

  • Review and verify enrollment and revalidation documentation to ensure all providers meet Medicaid requirements.

  • Process updates to provider information accurately and in a timely manner.

  • Identify and escalate enrollment-related issues to leadership.

  • Ensure strict adherence to HIPAA laws and all applicable policies and procedures.

  • Assist in optimizing workflows and improving documentation processes.

  • Maintain confidentiality when handling sensitive enrollment and maintenance data.

  • Participate in HIPAA security and privacy training, as well as other required company trainings and meetings.

  • Maintain confidentiality in all enrollment-related matters.

  • Perform other related duties to support company operations as needed.

Role Requirements

Education:

  • High school diploma or equivalent required.

  • Bachelor’s degree in Business Administration, Project Management, or related field preferred.

Experience:

  • 3–6 months of experience or training in provider document management.

  • Familiarity with Medicaid provider enrollment preferred.

  • Knowledge of HIPAA laws and healthcare data handling practices.

Preferred Skills:

  • Experience with provider enrollment in a health plan.

  • Knowledge of Medicaid and/or Managed Care Programs.

Skills and Abilities:

  • Fully bilingual in English and Spanish (spoken and written).

  • Proficient in Microsoft Office (Word, Excel, PowerPoint, SharePoint).

  • Strong attention to detail and organizational skills.

  • Ability to analyze and interpret technical and regulatory documents.

  • Strong communication skills and the ability to present information clearly to colleagues and clients.

  • Ability to exercise independent judgment and work effectively in a fast-paced environment.

Terms & Conditions

Regular Full-Time position‍

Intervoice is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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We look forward to getting to know you!