Provider Enrollment Analyst Position Available In Richland, South Carolina

Provider Enrollment Analyst
Job Description

Role Name:

 Provider Enrollment Analyst

Location:

Columbia, SC 29229

Work Environment:

Onsite

Schedule:

Mon to Fri, 8AM-4:30PM , 40 hrs/week.

Contract length:

3 months assignment with possible conversion

Job Summary:

Duties/About the role:
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.
Day to

Day:

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.
Work environment: Typical office environment.

Team Info:

 Our team includes individuals with a wide range of skills such as technical expertise, creative thinking, project management and interpersonal skills. Team members communicate openly and respectfully showing they value their peers input and feedback.

Any extra/additional job info:

NA Job Requirements:

Required Experience:

 None Preferred

Required EDU:

 Bachelor’s degree or 4 years of job related work experience, to include six months of experience working in an office environment.
Required Certification or licenses:

NA
Required Software and Tools (Hands on experience required): Microsoft Office
Soft skills: Adaptability, Communication, Teamwork, Problem- solving.
Nice to have/Preferred skills: 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.

About Us:

 Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust

ISO 9001

2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation.

SPECTRAFORCE

is built on a concept of “human connection,” defined by our branding attitude of

NEWJOBPHORIA

®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential.

Learn more at:

http://www.spectraforce.com

Benefits:

SPECTRAFORCE

offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program.

SPECTRAFORCE

provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer:

 

SPECTRAFORCE

is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.

California Applicant Notice:

SPECTRAFORCE

is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@spectraforce.com.

LA County, CA Applicant Notice:

If you are selected for this position with SPECTRAFORCE, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer. At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $14.00/hr.