Provider Enrollment Analyst, CMS 855 Required
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Job Description
Provider Enrollment Analyst at Broadway Ventures supporting medical provider enrollment and ensuring compliance. Responsibilities include reviewing applications, validating data, and assisting with process improvements.
Responsibilities:
- Support the full lifecycle of medical provider enrollment, helping ensure accurate provider data and regulatory compliance.
- Review and validate medical provider enrollment applications (initial, re-enrollment, reactivation, or updates)
- Verify provider data via internal databases and external agencies; set up/test EFT accounts
- Enter and update provider information in enrollment databases and directories
- Communicate with providers, agencies, and internal departments to resolve discrepancies
- Supply application materials and process guidance to potential enrollees
- Assist with special projects, process improvements, provider education, and system testing
Requirements:
- At least one (1) year of experience processing CMS 855 applications/managing the enrollment process utilizing the the Medicare enrollment online system PECOS.
- Previous Provider Enrollment for Medicare is required to be considered for the role.
- Highschool Diploma or equivalent
- Associates or Bachelors degree preferred
- Proficiency with word processing, spreadsheets, and databases
- Strong judgment, organization, and customer service skills
- Clear verbal and written communication
- Solid grammar, spelling, and punctuation skills
- Basic business math competency
- Analytical and critical thinking ability
- Discretion in handling confidential information
- Microsoft Office
Benefits:
- 401(k) + company matching
- Medical, Dental, and Vision Insurance
- Disability and Life Insurance
- Paid Time Off
- Paid Holidays
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