Provider Enrollment Analyst
SummaryBroadway Ventures is hiring Provider Enrollment Analysts.
In this role you will be responsible for the provider enrollment process to review, research, analyze, and process provider enrollment applications.
Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.
Worksite:
This position is full time (40 hours/week) dayshift Monday-Friday in a typical office environment.
We are classified as a HUBZone small business which means that we ensure a percentage of our workforce lives in a HUBZone (Historically Underutilized Business Zone) while working for Broadway Ventures.
We will give a strong preference to applicants who live in a HUBZone year round.
To verify whether you live in a HUBZone, you may view the following link:
HUBZone Map (sba.
gov)Duties Determines the acceptability of provider enrollment applications (which may be used for initial full application, reenrollment, reactivation, change of information); Provides in-depth review and verification/validation of provider data; Verifies provider data by use of information databases and various organizations/agencies to ensure authenticity; sets up/tests EFT accounts.
Processes/enters/updates provider data information/applications into appropriate enrollment database used in evaluating/tracking the processing of the application and/or updating of provider directories.
Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone).
Obtains information from internal department, providers, government and/or private agencies, etc.
to resolve discrepancies/problems.
Supplies enrollment applications and general information on the enrollment process to interested enrollees.
Contributes to and participates on special projects related to provider files.
Assists Technical Support staff with testing system changes related to provider files.
Assists with process improvements related to Provider Enrollment.
Assists with provider education and provider services training.
Qualifications Bachelor's degree or 4 years of job-related work experience, to include six months of experience working in an office environment.
Working knowledge of word processing, spreadsheet, and database software.
Good judgment skills required.
Effective customer service and organizational skills required.
Demonstrated verbal and written communication skills.
Demonstrated proficiency in spelling, punctuation, and grammar skills.
Basic business math proficiency required.
Analytical or critical thinking skills required.
Ability to handle confidential or sensitive information with discretion.
Microsoft Office.
Preferred Bachelor's degree-in Business Administration or Health Administration In-depth knowledge of provider certification process, claims processing operations/systems, and pricing methodology and discount programs.
In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues.
Effective presentation skills.
What to Expect NextAfter submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications.
This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.
PI227358339 Recommended Skills Analytical Business Administration Business Mathematics Claim Processing Communication Coordinating Estimated Salary: $20 to $28 per hour based on qualifications.
In this role you will be responsible for the provider enrollment process to review, research, analyze, and process provider enrollment applications.
Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines.
Worksite:
This position is full time (40 hours/week) dayshift Monday-Friday in a typical office environment.
We are classified as a HUBZone small business which means that we ensure a percentage of our workforce lives in a HUBZone (Historically Underutilized Business Zone) while working for Broadway Ventures.
We will give a strong preference to applicants who live in a HUBZone year round.
To verify whether you live in a HUBZone, you may view the following link:
HUBZone Map (sba.
gov)Duties Determines the acceptability of provider enrollment applications (which may be used for initial full application, reenrollment, reactivation, change of information); Provides in-depth review and verification/validation of provider data; Verifies provider data by use of information databases and various organizations/agencies to ensure authenticity; sets up/tests EFT accounts.
Processes/enters/updates provider data information/applications into appropriate enrollment database used in evaluating/tracking the processing of the application and/or updating of provider directories.
Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone).
Obtains information from internal department, providers, government and/or private agencies, etc.
to resolve discrepancies/problems.
Supplies enrollment applications and general information on the enrollment process to interested enrollees.
Contributes to and participates on special projects related to provider files.
Assists Technical Support staff with testing system changes related to provider files.
Assists with process improvements related to Provider Enrollment.
Assists with provider education and provider services training.
Qualifications Bachelor's degree or 4 years of job-related work experience, to include six months of experience working in an office environment.
Working knowledge of word processing, spreadsheet, and database software.
Good judgment skills required.
Effective customer service and organizational skills required.
Demonstrated verbal and written communication skills.
Demonstrated proficiency in spelling, punctuation, and grammar skills.
Basic business math proficiency required.
Analytical or critical thinking skills required.
Ability to handle confidential or sensitive information with discretion.
Microsoft Office.
Preferred Bachelor's degree-in Business Administration or Health Administration In-depth knowledge of provider certification process, claims processing operations/systems, and pricing methodology and discount programs.
In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues.
Effective presentation skills.
What to Expect NextAfter submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications.
This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.
PI227358339 Recommended Skills Analytical Business Administration Business Mathematics Claim Processing Communication Coordinating Estimated Salary: $20 to $28 per hour based on qualifications.
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