Provider Enrollment Analyst- Columbia, SC, Local Candidates Only -
NO C2C
Onsite - Potential to work remotely after training
Critical thinking; Data analysis; Time management; Adaptability; Strong Communication skills; Dependability
Duties:
Responsible for the provider enrollment process to review, research, analyze, and process provider enrollment applications. Ensures provider file integrity and that suppliers comply with established standards and guidelines.
May perform any or all of the following in the enrollment of providers: determines the acceptability of provider enrollment applications (which may be used for initial full application, re-enrollment, 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 databases 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 departments, 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 in 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.
Skills:
Working knowledge of word processing, spreadsheet, and database software.
Good judgment skills are 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 is required. Analytical or critical thinking skills required.
Ability to handle confidential or sensitive information with discretion.
Required Software and Tools: Microsoft Office. Preferred Skills and Abilities: 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. Work Environment: Typical office environment.
Education:
Required Education: Bachelor's degree or 4 years of job-related work experience, including six months of experience working in an office environment. Required Work Experience: None Preferred Education: Bachelor's degree in Business Administration or Health Administration.
Equal Opportunity Employer
Revolution Technologies, LLC is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.