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TALENT Software Services · 1 month ago

SCA Provider Enrollment Analyst 1 (0-2 years)

United States

Full-time

Remote

New Grad, Entry Level

$16/hr - $18/hr

0+ years exp

TALENT Software Services is seeking a Provider Enrollment Analyst to assist Medicare providers with their enrollment applications. The role involves verifying and documenting enrollment information, responding to inquiries, and ensuring timely processing of applications.

Artificial Intelligence (AI)ConsultingDevOpsHealth CareIT ManagementProject ManagementRecruitingStaffing Agency

Growth Opportunities

Responsibilities

Utilize on-line Medicare files/systems to verify research, update, and document enrollment information

Respond to provider/customer enrollment telephone and written inquiries

Ensure all provider enrollment data is properly controlled and tracked to ensure applications are approved or denied within standards of timeliness established by department and Centers for Medicare and Medicaid Services (CMS)

Enter data into on-line national database and internal provider files (PECOS)

Research and verify proper fees and inspections have been completed on certain suppliers

Qualification

Medicare enrollmentData entryInsurance industry experienceClaims processingResearchComputer navigationCustomer serviceCommunication skillsProblem-solving

Required

High school diploma or equivalent

0-2 years of business experience, including working in the insurance industry, claims processing, health care credentialling, billing or medical reimbursement

Preferred

Associate degree in business administration, insurance, healthcare, or related fields

0-2 years of business experience, including working in the insurance industry, claims processing, health care credentialling, billing or medical reimbursement

Experience interpreting government regulations and applying to current processes

Course work in insurance, medical, customer service and/or financial

0-2 years of computer and navigation experience; preferably working with dual monitors

Good work ethic and good attendance

Ability to communicate effectively over the phone

Experience working in a production-based environment