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BROADWAY VENTURES, LLC · 4 months ago

Provider Enrollment Analyst

Columbia, SC

Full-time

Onsite

Entry Level

1+ years exp

Broadway Ventures, LLC is a trusted partner in innovation, specializing in program management and consulting solutions for government and private sector clients. They are seeking experienced Provider Enrollment Analysts to support the enrollment process by reviewing and processing provider applications, ensuring compliance and accuracy of provider files.

CommercialConsultingInsuranceProfessional Services

No H1B

Security Clearance Required

U.S. Citizen Only

Responsibilities

Review and validate medical provider enrollment applications (initial, re-enrollment, reactivation, or updates)

Verify provider data via internal databases and external agencies; set up/test EFT accounts

Enter and update provider information in enrollment databases and directories

Communicate with providers, agencies, and internal departments to resolve discrepancies

Supply application materials and process guidance to potential enrollees

Assist with special projects, process improvements, provider education, and system testing

Qualification

CMS 855 applicationsMedicare enrollment systemMicrosoft OfficeAnalytical thinkingCustomer service skillsDiscretion handling informationClear communicationOrganizational skills

Required

At least one (1) year of experience processing CMS 855 applications/managing the enrollment process utilizing the the Medicare enrollment online system PECOS

Previous Provider Enrollment for Medicare is required to be considered for the role

Highschool Diploma or equivalent

Proficiency with word processing, spreadsheets, and databases

Strong judgment, organization, and customer service skills

Clear verbal and written communication

Solid grammar, spelling, and punctuation skills

Basic business math competency

Analytical and critical thinking ability

Discretion in handling confidential information

Completion of an eQIP background investigation

Successful credit check