Provider Enrollment Specialist
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Job Description
Provider Enrollment Specialist processing Medicare provider applications for Broadway Ventures, a government and private-sector consulting company. Maintaining enrollment data, validating records, and resolving discrepancies remotely.
Responsibilities:
- Review and validate medical provider enrollment applications, including initial, re-enrollment, reactivation, and updates
- Verify provider data via internal databases and external agencies; set up and 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
- Participate in growth and development opportunities within the role
Requirements:
- Must be willing to undergo and pass an EAU CMS Background Check including fingerprinting
- CMS 855 application management experience
- PECOS utilization experience
- Customer service representative (CSR) experience
- Previous provider enrollment experience for Medicare
- High school diploma or equivalent required
- Proficiency with word processing
- 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
- Must live in and work from an eligible U.S. state when hired and throughout employment
- Background checks and drug testing prior to start of employment
Benefits:
- 401(k) and company match
- PTO that grows the longer you stay
- Health, Vision, Dental
- Company provided Life Insurance and Voluntary Life Insurance
- Short Term Disability and Long Term Disability
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