Provider Enrollment Specialist (Remote)

Broadway Ventures

4h • Remote

About The Position

The Provider Enrollment Specialist supports the enrollment process by reviewing, researching, analyzing, and processing provider applications, ensuring provider files are accurate and comply with established standards and guidelines. The role handles initial enrollment, re-enrollment, reactivation, and application updates; verifies provider data; and maintains information in enrollment databases and directories. It is remote within the United States, subject to location eligibility restrictions. Applicants must be willing to undergo and pass an EAU CMS background check, including fingerprinting. Compensation is listed at $20 per hour. Broadway Ventures may use the position in support of a contract proposal that has not yet been awarded; if applicable, the position and final compensation are contingent on the contract award and its terms.

Requirements

• Experience managing CMS 855 applications.
• Experience utilizing PECOS.
• Customer service representative (CSR) experience.
• Previous provider enrollment experience for Medicare.
• High school diploma or equivalent.
• Proficiency with word processing.
• Strong judgment, organization, and customer service skills.
• Clear verbal and written communication skills.
• Solid grammar, spelling, and punctuation skills.
• Basic business math competency.
• Analytical and critical thinking ability.
• Discretion in handling confidential information.
• Must be willing to undergo and pass an EAU CMS background check, including fingerprinting.
• Must live and work from an eligible U.S. state when hired and throughout employment; applicants from the listed excluded locations are not considered.

Nice To Haves

• Associate's or bachelor's degree preferred.
• Microsoft Office.

Responsibilities

• Review and validate medical provider enrollment applications, including initial enrollment, re-enrollment, reactivation, and updates.
• Verify provider data using internal databases and external agencies, and set up and test EFT accounts.
• Enter and update provider information in enrollment databases and directories.
• Communicate with providers, agencies, and internal departments to resolve discrepancies.
• Supply application materials and process guidance to potential enrollees.
• Assist with special projects, process improvements, provider education, and system testing.
• Participate in growth and development opportunities within the role.

Benefits

• 401(k) and company match.
• PTO that grows with tenure.
• Health insurance.
• Vision insurance.
• Dental insurance.
• Company-provided life insurance and voluntary life insurance.
• Short-term disability insurance.
• Long-term disability insurance.

What This Job Offers

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