Provider Enrollment Analyst/Credentialing

WPS—A health solutions company • Fitchburg, WI

1d • Remote

About The Position

The Provider Enrollment Analyst will approve, deny, or return applications submitted by Medicare providers. This work is important in helping providers enroll in the Medicare program.

Requirements

• Possess confidence in your skills navigating a computer to process applications efficiently through multiple operating systems.
• Prioritize effectively, stay on task, and work independently.
• Are comfortable critically examining, analyzing and reviewing work items in detail for accuracy.
• Possess strong communication skills, both verbal and written.
• Enjoy research and problem-solving.
• High school diploma or equivalent
• 1 or more years of business experience, including working in the insurance industry, claims processing, health care credentialing, billing or medical reimbursement.

Nice To Haves

• Associate degree in business administration, insurance, healthcare, or related fields.
• 2 or more years of business experience, including working in the insurance industry, claims processing, health care credentialing, billing or medical reimbursement.
• Experience interpreting government regulations and applying to current processes.
• Course work in insurance, medical, customer service and/or financial.
• 1 or more years of computer and navigation experience; preferably working with dual monitors.
• Good work ethic and good attendance.
• Ability to communicate effectively over the phone.
• Experience working in a production-based environment.
• Wired (ethernet cable) internet connection from your router to your computer
• High speed cable or fiber internet
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net [https://speedtest.net])

Responsibilities

• Utilize on-line Medicare files/systems to verify research, update, and document enrollment information.
• Respond to provider/customer enrollment telephone and written inquiries.
• Ensure all provider enrollment data is properly controlled and tracked to ensure applications are approved or denied within standards of timeliness established by department and Centers for Medicare and Medicaid Services (CMS).
• Enter data into on-line national database and internal provider files (PECOS).
• Research and verify proper fees and inspections have been completed on certain suppliers.

Benefits

• Remote work options available
• Performance bonus and/or merit increase opportunities
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
• Competitive paid time off
• Health insurance, dental insurance, and telehealth services start DAY 1
• Professional and Leadership Development Programs
• Review additional benefits: (https://www.wpshealthsolutions.com/careers/ [https://www.wpshealthsolutions.com/careers/])

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED