Analyst, Provider Enrollment

1 month ago

Columbia, United States Experis Full time
Our client is seeking a Admin Analyst, Provider Enrollment to join their team.

Job Title: Admin Analyst, Provider Enrollment
Location: Columbia, SC
Job Type: 3 Months Contract
Job Id: 31997509
Training: Onsite training: Training will be 2-4 weeks.
Job Description:
Duties: 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.
  • 65% 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, 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.
  • 20% 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.
  • 10% 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.
  • 5% Assists with provider education and provider services training.
  • Skills: Required Skills and Abilities: 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.
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.
Education: Required Education: Bachelor's degree or 4 years of job related work experience, to include six months of experience working in an office environment.
Preferred Education: Bachelor's degree-in Business Administration or Health Administration.
Required Skills:
  • Customer Service
  • Medicare
  • Microsoft Office
  • Organizational Skills
Additional Skills:
  • Database
  • Operations
  • EFT
  • Technical Support
  • Correspondence
  • Customer Service Oriented
Medicare experience, attention to detail Processing revalidation applications for durable medical equipment suppliers; this means sitting at their desk, reviewing imaged documentation, sending email correspondence to the applicants, making phone calls when needed. Written communication, able to manage a large pending workload/understand priority.
If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you

About ManpowerGroup, Parent Company of:Manpower, Experis, Talent Solutions, and Jefferson Wells

ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands - Manpower, Experis, Talent Solutions, and Jefferson Wells - creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.

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