Provider Enrollment Specialist

Palmetto GBA, LLC

Columbia (SC)

On-site

USD 50,000 - 75,000

Full time

5 days ago
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Benefits offered by this job

Subsidized health plans
401k retirement savings with company
Life Insurance
PTO
On-site cafeterias and fitness centers

Job summary

Palmetto GBA, LLC in Columbia, SC, seeks a provider enrollment specialist to review and process enrollment applications, ensuring file integrity and compliance with standards. The role involves data verification against databases, updating enrollment systems, and delivering quality service to internal and external customers.

The position is full-time, onsite, with typical hours 8:00 AM–5:00 PM, some overtime, and possible travel between buildings. Benefits begin after 28 days of employment.

Qualifications

  • Bachelor’s degree equivalency: 4 years related work experience or an associate’s degree with 2 years related experience.
  • Proficient with word processing, spreadsheets, and databases; strong written and verbal communication.
  • Ability to handle confidential or sensitive information with discretion.

Responsibilities

  • Review and process provider enrollment applications.
  • Verify provider data against information databases and external agencies.
  • Enter/update provider data in enrollment databases and update directories.
  • Provide responsive customer service via correspondence and telephone.
  • Support special projects and provider education/training as needed.
  • Assist with testing system changes related to provider files.

Skills

Word processing
Spreadsheets
Database software
Customer service
Organizational skills
Verbal and written communication
Spelling, punctuation, grammar
Business math
Analytical thinking
Discretion with confidential info

Education

Bachelor’s degree equivalency
Experience requirements (4 years or 2 years with associate)

Tools

Microsoft Office

Job description

Palmetto GBA, LLC in Columbia, SC, seeks a provider enrollment specialist to review and process enrollment applications, ensuring file integrity and compliance with standards. The role involves data verification against databases, updating enrollment systems, and delivering quality service to internal and external customers.

The position is full-time, onsite, with typical hours 8:00 AM–5:00 PM, some overtime, and possible travel between buildings. Benefits begin after 28 days of employment.

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