BR24-06 Provider Enrollment Analyst **HUBZONE

Summary

Broadway Ventures is hiring Provider Enrollment Analysts. Responsible in 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), Monday-Friday. Employees will work 8:00 AM - 4:30 PM. This role is on-site in Columba, SC.

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)

Job Responsibilities

• May perform any or all of the following in the enrollment of providers: determine 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 four (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 Qualifications

• Two (2) years of call center experience
• Bachelor's degree-in Business Administration or Health Administration.
• Medicare A/B MAC experience
• PECOS experience
• 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 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.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information.

Equal Employment Opportunity Statement

Broadway Ventures maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals, and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state, and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

Job Type: Full-time

Pay: $36,000.00 - $48,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Do you live in a HUBZone? Please enter your FULL address for us to check.

To verify whether you live in a HUBZone, you may view the following link: HUBZone Map (sba.gov)

Education:

• High school or equivalent (Preferred)

Experience:

• Provider Enrollment Analyst: 1 year (Preferred)
• Microsoft Office: 3 years (Preferred)
• call center: 1 year (Preferred)
• Medicare A/B MAC: 1 year (Preferred)
• PECOS: 1 year (Preferred)

Work Location: Hybrid remote in Columbia, SC 29203