Analyst, Provider Enrollment

BlueCross BlueShield of South Carolina; Firenze; In loco; USD 35.000 - 60.000; Tempo pieno

Descrizione del lavoro

Join a leading insurance provider as a Provider Enrollment Analyst, where you will play a vital role in ensuring the integrity and compliance of provider enrollment applications. This position offers the chance to engage with diverse teams and contribute to important projects while providing excellent service to clients. With a commitment to diversity and inclusion, this forward-thinking company offers comprehensive benefits and a supportive work environment. If you are detail-oriented and passionate about making a difference in the healthcare industry, this opportunity is perfect for you.

Servizi

Health plans

401(k)

Life insurance

PTO

On-site amenities

Education assistance

Discounts

Competenze

• Bachelor's degree or equivalent experience required.
• Proficiency in Microsoft Office is essential.

Mansioni

• Evaluate and process provider enrollment applications.
• Communicate effectively with customers and resolve issues.
• Participate in special projects related to provider files.

Conoscenze

Proficiency in Microsoft Office

Organizational skills

Effective communication

Analytical thinking

Attention to detail

Formazione

Bachelor's degree or equivalent

Associate's degree with 2 years related experience

Strumenti

Microsoft Office suite

Descrizione del lavoro

Summary

As a Provider Enrollment Analyst, you will be responsible for reviewing, researching, analyzing, and processing provider enrollment applications. Ensures provider file integrity and compliance with established standards and guidelines.

Why join BlueCross BlueShield of South Carolina?

We have been part of the national landscape for over seven decades, rooted in the South Carolina community. We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate a sophisticated data processing center. Our diverse subsidiaries allow us to leverage various business strengths. We are committed to outstanding service. If you share this philosophy, consider joining us!

Description

Location: Full-time (40 hours/week), Monday-Friday, in an office environment. Work hours are 8:00AM-5:00PM, with possible overtime and travel between buildings. Location: 4101 Percival Rd., Columbia, SC, 29229.

What You'll Do:

• Evaluate provider enrollment applications for acceptability, including initial, reenrollment, reactivation, or information updates.
• Review and verify provider data using databases and external organizations to ensure authenticity; set up/testing EFT accounts.
• Enter and update provider data in enrollment systems and directories.
• Provide quality service and communicate effectively with customers via correspondence and phone.
• Gather information from internal departments, providers, and agencies to resolve issues.
• Distribute enrollment applications and information about the process.
• Participate in special projects related to provider files and assist with system testing and process improvements.
• Support provider education and training initiatives.

Qualifications:

• Education: Bachelor's degree or equivalent (4 years related experience) or associate's degree with 2 years related experience.
• Skills: Proficiency in Microsoft Office, good judgment, organizational skills, effective communication, attention to detail, basic math, analytical thinking, and discretion handling sensitive information.
• Tools: Microsoft Office suite.

Preferred Skills:

• Knowledge of provider certification, claims processing, pricing, Medicare regulations, and BlueCross BlueShield enrollment processes.

Benefits:

We value diversity and inclusion, offering comprehensive benefits starting the first of the month after 28 days of employment, including health plans, 401(k), life insurance, PTO, on-site amenities, education assistance, and discounts.

Next Steps:

Post-application review may include a phone or email interview to verify qualifications and salary expectations.

EEO Statement:

We promote nondiscrimination and provide accommodations for individuals with disabilities, pregnancy, religious beliefs, and other protected statuses. For assistance, contact [e-mail] or call 800-288-2227, ext. 47480. We participate in E-Verify and are an Equal Opportunity Employer.