Remote - Provider Enrollment Analyst United States - Remote

Side Hamburg; Columbia (SC); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a mission-driven organization as a Provider Enrollment Analyst, where your expertise will shape the future of provider enrollment. In this fully remote role, you will manage the provider enrollment process, ensuring compliance and maintaining data integrity. With a focus on collaboration and excellence, you will work closely with providers and internal teams to enhance operational success. This is an exciting opportunity to contribute to a company that values integrity and innovation while enjoying a comprehensive benefits package and a supportive work environment.

Benefits

401(k) & 401(k) matching

Medical, dental, and vision insurance

Life and disability insurance

Flexible Paid Time Off (FPTO)

Paid holidays

Qualifications

• 2+ years of experience in provider enrollment is essential.
• Strong knowledge of Medicare/Medicaid regulations is required.

Responsibilities

• Manage provider enrollment applications and ensure compliance.
• Communicate with stakeholders to resolve discrepancies.

Skills

Provider Enrollment

Customer Service

Analytical Skills

Communication Skills

Attention to Detail

Education

Associates Degree

4 years experience in Provider Enrollment

Tools

Microsoft 365

Job description

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.

As a Provider Enrollment Analyst, you will play a critical role in managing the provider enrollment process. Your responsibilities will include reviewing, researching, analyzing, and processing provider enrollment applications to ensure compliance with established guidelines. You will also maintain the integrity of provider records and ensure suppliers meet regulatory standards.

This is a full-time (40 hours per week), Monday-Friday position in a standard office environment. You will work an 8-hour shift scheduled within normal business hours (8:00 AM - 5:00 PM). This role is fully remote and allows you to work from home.

Key Responsibilities:

As a Provider Enrollment Analyst, you may be responsible for the following:

• Assessing provider enrollment applications, including initial applications, re-enrollment, reactivation, and change requests.
• Conducting in-depth verification and validation of provider data to ensure accuracy and compliance.
• Utilizing various databases and external agencies to authenticate provider information.
• Setting up and testing Electronic Funds Transfer (EFT) accounts.
• Entering, updating, and maintaining provider data in enrollment databases for tracking and application processing.
• Communicating effectively with internal and external stakeholders to address inquiries via correspondence and phone.
• Collaborating with providers, internal departments, and government/private agencies to resolve discrepancies.
• Providing enrollment applications and process guidance to potential enrollees.
• Contributing to special projects related to provider files.
• Assisting technical teams with testing system changes related to provider records.
• Supporting process improvements and initiatives related to provider enrollment.
• Assisting with provider education and training initiatives.

Qualifications & Requirements:

Education:

• Associates Degree or 4 years experience in Provider Enrollment for Medicare/Medicaid.

Experience:

• Minimum 2+ years of experience in provider enrollment.
• Strong knowledge of the provider certification process, claims processing operations/systems, pricing methodologies, and discount programs.
• Deep understanding of Medicare/Medicaid program regulations related to provider enrollment.
• Experience presenting and communicating information effectively.
• Proficiency in Microsoft 365 (Outlook, Word, Excel, PowerPoint, etc.).
• Strong customer service and organizational skills.
• Excellent verbal and written communication abilities.
• High attention to detail, including proficiency in spelling, grammar, and punctuation.
• Strong analytical and critical thinking skills.
• Ability to manage confidential and sensitive information with discretion.

Pay:

• $20/hr.

We offer a comprehensive benefits package, including:

• 401(k) & 401(k) matching
• Medical, dental, and vision insurance
• Life and disability insurance
• Flexible Paid Time Off (FPTO)
• Paid holidays

Join our team and contribute to a mission-driven organization dedicated to excellence in provider enrollment!

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 a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hire's employment.

Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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