Analyst, Provider Enrollment

4 weeks ago


Columbia, United States Hornet Staffing, Inc. Full time
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.
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.
  • Work Environment: Typical office environment.
Required
  • EXCELLENT WRITTEN AND VERBAL COMMUNICATION SKILLS
  • INFORMATION VERIFICATION
  • ORGANIZATIONAL SKILLS
  • CUSTOMER SERVICE
  • MEDICARE
Additional
  • OPERATIONS
  • EFT
  • CORRESPONDENCE
  • MICROSOFT OFFICE
  • CUSTOMER SERVICE ORIENTED


  • Columbia, United States US Tech Solutions Full time

    Job Title: Provider Enrollment Analyst Location: Columbia, SC 29223 Duration: 6+ Months Possible Contract (Possible Extension) Job Description: • Responsible in the provider enrollment process to review, research, analyse, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with...


  • Columbia, United States US Tech Solutions, Inc. Full time

    Job Title: Provider Enrollment Analyst Location: Columbia, SC 29223 Duration: 6+ Months Possible Contract (Possible Extension) Job Description: • Responsible in the provider enrollment process to review, research, analyse, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with...


  • Columbia, United States US Tech Solutions Full time

    Job Title: Provider Enrollment Analyst Location: Columbia, SC 29203 Duration: 6+ months (Possible extension) Job Description: · Eligible Hours/Schedule: M-F, normal 8.5 hr. day (including lunch) start day as early as 7:00, but no later than 9:00. Contract Only Interviews: Prefer in person, but Teams acceptable. With 10 people to hire, interviews...


  • Columbia, United States US Tech Solutions, Inc. Full time

    Job Title: Provider Enrollment Analyst Location: Columbia, SC 29203 Duration: 6+ months (Possible extension) Job Description: · Eligible Hours/Schedule: M-F, normal 8.5 hr. day (including lunch) start day as early as 7:00, but no later than 9:00. Contract Only Interviews: Prefer in person, but Teams acceptable. With 10 people to hire, interviews...


  • Columbia, United States LanceSoft Full time

    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...


  • Columbia, United States Mindlance Full time

    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...


  • Columbia, United States US Tech Solutions Full time

    Job Description: Responsible in the provider enrollment process to review, research, analyse, and process provider enrollment applications. Ensures provider file integrity and that suppliers are in compliance with established standards and guidelines. May perform any or all the following in the enrollment of providers determines the acceptability of provider...


  • West Columbia, United States LanceSoft Full time

    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...


  • West Columbia, United States WillHire Full time

    Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we’re stronger than ever. Our A.M. Best rating is A+...


  • Columbia, United States Chubb Full time

    Job Description Combined Insurance, a Chubb Company, is seeking an Enrollment Solutions Consultant to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of over 100 years. Come join our team of hard-working, talented professionals! Job Summary This position will support our internal sales...


  • Columbia, South Carolina, United States Virtual Learning Full time

    Company descriptionAt Pearson, our purpose is simple; to add life to a lifetime of learning. We envision a future where everyone can realize the life they imagine through learning. To achieve this, we create vibrant and enriching learning experiences designed for real-life impact.For over 20 years, Pearson Virtual Schools has been reimagining K-12 education...


  • Columbia, South Carolina, United States University of Missouri Full time

    Vice Provost for Enrollment ManagementThe University of Missouri ("Mizzou" or "MU") seeks a dynamic, innovative, and visionary leader to serve as the next Vice Provost for Enrollment Management ("VPEM"), who will propel Mizzou into a new era of enrollment management. Mizzou has achieved tremendous momentum as an institution—evident through historic highs...


  • Columbia, United States Allen University Full time

    Associate Vice President for Enrollment ManagementPosition DescriptionReporting to the Vice President for Student Affairs, the Associate Vice President for EnrollmentManagement provides strategic leadership for the development and execution of recruitment and enrollmentactivities that achieve University enrollment goals. To facilitate this end, the AVP...


  • Columbia, United States Virtual Learning Full time

    Company description At Pearson, our purpose is simple; to add life to a lifetime of learning. We envision a future where everyone can realize the life they imagine through learning. To achieve this, we create vibrant and enriching learning experiences designed for real-life impact. For over 20 years, Pearson Virtual Schools has been reimagining K-12...

  • Sr. Business Analyst

    3 weeks ago


    Columbia, United States Cogent People Inc. Full time

    Job Description Job Description Description: Cogent People Inc is seeking a Senior Business Analyst to support our work in the Healthcare domain. As a Senior Business Analyst, you will be trusted to: work hand-in-hand with our customer to collect business requirements and system documentation supporting business and IT activities; conduct, document, and...


  • Columbia, United States Focused HR Solutions Remote Work Freelance Full time $75

    This job is 100% On-Site Work located in Columbia, SC.Our direct client has an opening for an MMIS Business Analyst position # 9997-1.  This position is for 6-12+ months, with the option of extension, and is located in Columbia, SC If you are interested, please submit the following: YOUR CURRENT RESUME YOUR HOURLY RATE. Below is the job description-Resumes...

  • Sr. Business Analyst

    2 months ago


    Columbia, United States Cogent People Inc Full time

    Job DescriptionJob DescriptionDescription:Cogent People Inc is seeking a Senior Business Analyst to support our work in the Healthcare domain. As a Senior Business Analyst, you will be trusted to: work hand-in-hand with our customer to collect business requirements and system documentation supporting business and IT activities; conduct, document, and...


  • West Columbia, United States University of South Carolina Full time

    Come join the EMCO team! EMCO, the Enrollment Management Central Office, is looking for a motivated, flexible, positive, and hardworking team player who is eager to join a supportive group of professionals. We like to have fun while also providing su Director, Management, Enrollment, Human Resource, Assistant, Staff


  • Columbia, United States Amergis Full time

    Amergis, formerly known asMaxim Healthcare Staffing, has served our clients and communities by connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of healthcare and school-based professionals, ready towork in any hospital, government facility, or school. Through partnership andinnovation, Amergis...


  • Columbia, United States TWA Career Full time

    Job DescriptionJob DescriptionRemote Benefits Enrollment Agent***Must be a resident of Georgia, Florida, Ohio, or South CarolinaThe Weatherspoon Agency, a regional division of American Income Life (AIL), has been a leader in providing supplemental benefits for over 68 years. As the only 100% union-based premier supplemental benefits company, we proudly serve...