Analyst, Provider Enrollment Position Available In Richland, South Carolina
Tallo's Job Summary: The Analyst, Provider Enrollment position in Columbia, SC involves reviewing, researching, analyzing, and processing provider enrollment applications, ensuring file integrity and compliance with standards. Responsibilities include validating provider data authenticity, setting up EFT accounts, resolving discrepancies, and supporting provider education. A Bachelor's degree or relevant work experience is required.
Job Description
Description Location:
Columbia, SC Review, research, analyze, and process provider enrollment applications (65%). Ensure provider file integrity and compliance with standards and guidelines. Determine acceptability of provider enrollment applications (initial, reenrollment, reactivation, or change of information). Perform in-depth review and validation of provider data for authenticity using databases and organizations/agencies. Set up and test EFT accounts. Process, enter, and update provider data information/applications in the enrollment database. Provide quality service and communicate effectively with external/internal customers in response to inquiries (20%). Resolve discrepancies by obtaining information from internal departments, providers, government/private agencies. Supply enrollment applications and general information about the enrollment process. Contribute to and participate in special projects related to provider files (10%). Assist with testing system changes and process improvements for Provider Enrollment. Support provider education and provider services training (5%).
Additional Skills & Qualifications Required Education:
Bachelor’s degree or 4 years of job-related work experience, to include six months of experience working in an office environment.
Required Work Experience:
None Preferred Education:
Bachelor’s degree-in Business Administration or Health Administration. Experience Level Entry Level
