SCA Provider Enrollment Representative I

CareBridge; Harrisburg (Dauphin County); Remote; USD 35,000 - 45,000; Full time

Job summary

CareBridge is seeking an SCA Provider Enrollment Representative I to join their team. This entry-level role involves processing provider enrollment applications and ensuring data accuracy across multiple systems. Ideal candidates will have a high school diploma and experience in claims processing or customer service. The position offers flexibility with virtual work options and is part of a dynamic healthcare environment focused on improving lives and communities.

Benefits

Paid Time Off

Medical, dental, and vision benefits

401(k) with match

Incentive bonus programs

Qualifications

• Minimum of 1 year experience in claims processing or customer service preferred.
• Experience with healthcare insurance provider enrollment is highly preferred.

Responsibilities

• Process Part B provider enrollment applications accurately and timely.
• Validate data for provider databases ensuring adherence to business requirements.

Skills

Data entry

Attention to detail

Education

High School diploma or equivalent

Tools

MS Office

Job description

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Location: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.

The SCA Provider Enrollment Representative I is responsible for accurate and timely processing of Part B provider enrollment applications.

How you will make an impact

• Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.
• Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
  
  

Minimum Requirements

• Requires a High School diploma or equivalent; or any combination of education and experience, which would provide an equivalent background. Minimum of 1 year experience in claims processing, provider relations/customer service, or credentialing preferred.
• This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.
  
  

Preferred Experience, Skills, And Capabilities

• 1-3 years of experience in provider relations/customer service, or credentialing preferred.
• Experience with healthcare insurance provider enrollment is highly preferred.
• Strong data entry skills preferred.
• Strong attention to detail preferred.
• Prior experience with MS Office products preferred.
  
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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