Simsy Ventures

Provider Enrollment Analyst

Simsy Ventures

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • Support the full lifecycle of medical provider enrollment, helping ensure accurate provider data and regulatory compliance
  • Review and validate medical provider enrollment applications (initial, re-enrollment, reactivation, or updates)
  • Verify provider data via internal databases and external agencies; set up/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
  • Collaborate cross-functionally with compliance, IT, and provider support teams
  • Participate in system testing and process improvement initiatives
  • Work full-time (40 hours/week), Monday–Friday, 8:00AM–5:00PM EST (remote)

Requirements

  • Bachelors Degree in Business or Healthcare and 0 - 1+ years of relevant experience
  • Associate Degree in Business or Healthcare related field and 2+ years of relevant experience
  • Or four 4 years of Provider Enrollment and/or Medicare program work experience working in an office environment
  • Minimum Highschool Diploma or equivalent
  • Associates or Bachelors degree preferred
  • Proficiency with word processing, spreadsheets, and databases
  • Strong judgment, organization, and customer service skills
  • Clear verbal and written communication
  • Solid grammar, spelling, and punctuation skills
  • Basic business math competency
  • Analytical and critical thinking ability
  • Discretion in handling confidential information
  • Microsoft Office proficiency
  • Completion of an eQIP background investigation (pre-hire requirement)
  • Successful credit check (pre-hire requirement)
  • Work hours: 8:00AM–5:00PM Eastern Standard Time (EST)
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