Provider Enrollment Analyst - Broadway Ventures
Columbia, SC
About the Job
At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation.
Broadway Ventures is seeking multiple Provider Enrollment Analysts to manage and oversee the provider enrollment application process. In this role, you will be responsible for reviewing, researching, analyzing, and processing applications to ensure accuracy and compliance. Your efforts will ensure the integrity of provider files and compliance with established standards and guidelines.
Worksite:
This position is full-time (40 hours/week), Monday-Friday. Employees will work 8:00 AM - 4:30 PM. This role is on-site in Columba, SC. (may move to work form home based on performance after 6 six months).
Key Responsibilities:
- Evaluate provider enrollment applications for initial submissions, reenrollments, reactivations, and changes of information.
- Conduct thorough review and validation of provider data, using information databases and external organizations/agencies to ensure authenticity.
- Set up and test Electronic Funds Transfer (EFT) accounts.
- Process, enter, and update provider data in the enrollment database to track application status and maintain provider directories.
- Deliver quality service by effectively communicating with internal and external customers via correspondence and phone.
- Resolve discrepancies by obtaining necessary information from internal departments, providers, government, and private agencies.
- Provide enrollment applications and general process information to prospective enrollees.
- Contribute to special projects and process improvements related to provider files and enrollment.
- Support Technical Support staff with system testing and assist with provider education and training.
Required Qualifications:
- Associate degree in Business or a Healthcare-related field, OR four (4) years of relevant Provider Enrollment and/or Medicare program experience.
- Proficiency in word processing/data entry, spreadsheets, and database software.
- Strong analytical and critical thinking skills.
- Experience in a call center environment.
- Good judgment and decision-making abilities.
- Excellent customer service and organizational skills.
- Strong verbal and written communication skills, with proficiency in spelling, punctuation, and grammar.
- Basic proficiency in business math.
- Ability to handle confidential or sensitive information with discretion.
- Proficiency in Microsoft Office.
Preferred Qualifications:
- Bachelor's degree in Business Administration or Health Administration.
- Two (2) years of call center experience.
- Experience with Medicare A/B MAC and PECOS.
- In-depth knowledge of provider certification processes, claims processing operations/systems, pricing methodology, and discount programs.
- Comprehensive understanding of Medicare program instructions and regulations related to provider enrollment.
- Effective presentation skills.
What to Expect Next:
After 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. Management will be conducting interviews with the most qualifies candidates.
We perform a background and drug test prior to the start of every new hires' employment. Broadway Ventures is an equal opportunity employer and VEVRAA Federal Contractor. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.