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Provider Enrollment Analyst

Provider Enrollment Analyst

Broadway VenturesColumbia, SC, United States
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Broadway Ventures is seeking detail-oriented Medical Records Processor to support the enrollment process by reviewing, researching, analyzing, and processing provider applications. This role ensures provider file accuracy and compliance with established standards and guidelines. Worksite & Schedule This is a full-time (40-hours / week) position, Monday-Friday in a typical office environment. Work hours : 8 : 00AM-5 : 00PM Location : 17 Technology Circle, Columbia, SC, 29203 You may be required to travel between buildings. What You'll Do You will support the full lifecycle of medical provider enrollment, helping ensure accurate provider data and regulatory compliance. Duties include : 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 Growth and Development In this role, you will gain exposure to : Medicare program regulations, health plan operations, and enrollment systems. Cross-functional collaboration with compliance, IT, and provider support teams. System testing and process improvement initiatives opportunities to grow your skills in operational analysis and project participation. Required Qualifications : Work Experience : None required Education : Bachelor's degree Equivalency : Four (4) years of related work experience, or an Associate's degree plus two (2) years of related work experience Skills and Abilities : 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 Software and Tools : Microsoft Office Preferred Qualifications : Education : Bachelor's degree in Business Administration or Health Administration Skills and Abilities : Knowledge of provider certification, claims processing, pricing, and discount programs Familiarity with Medicare regulations and provider enrollment Strong presentation skills Pre-Hire Requirements Completion of an eQIP background investigation Successful credit check Benefits 401(k) + company matching Medical, Dental, and Vision Insurance Disability and Life Insurance Paid Time Off Paid Holidays

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Provider Enrollment Analyst • Columbia, SC, United States