Analyst, Provider Enrollment

Summary

As a Provider Enrollment Analyst, you will be responsible in the provider enrollment process to review, research, analyze, and process provider enrollment applications. You will also ensure provider file reputed company and that suppliers are in compliance with established standards and guidelines. Why should you join the reputed company family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government reputed company. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining reputed company! Description Logistics: reputed company – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 17 Technology reputed company, Columbia, SC, 29203 or Work at Home. SCA Benefit Requirements: reputed company and its subsidiary companies have reputed company with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You'll Do: • May reputed company any or reputed company 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. • 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. • Contributes to and participates on special projects reputed company to provider files. Assists technical support staff with testing system changes reputed company to provider files. Assists with process improvements reputed company to provider enrollment. • Assists with provider education and provider services training. To Qualify for This Position, You'll Need the Following: • Required Education: Bachelor's degree equivalency: 4 years job reputed company work experience or Associate's and 2 years job reputed company work experience. • 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: reputed company Office. We Prefer That You Have the Following: • Preferred Education: Bachelor's degree-in Business Administration or Health Administration. • 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 reputed company to provider enrollment/issues. Effective presentation skills. reputed company Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across reputed company spectrums have the opportunity to reputed company their skills, advance their careers and contribute their unique abilities to the growth of our company. Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. • Subsidized health plans, dental and vision coverage. • 401k retirement savings plan with company match. • Life Insurance. • Paid Time Off (PTO). • On-site cafeterias and fitness centers in major locations. • Education Assistance. • Service Recognition. • National discounts to movies, theaters, zoos, theme parks and more. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. We participate in E-Verify and reputed company with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information. Equal Employment Opportunity Statement reputed company and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national reputed company, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in reputed company phases of the employment process and to reputed company with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail reputed [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will reputed company a determination regarding your request for reasonable accommodation on a case-by-case basis. Apply Job!