Sr Provider Enrollment Analyst

External

Ourhrconnect · Columbia, SC

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About the role

Acts as a Team Lead by providing guidance, direction, and training to Provider Enrollment Analysts and/or other Provider Enrollment area staff. Responsible for the processing of difficult enrollment applications and/or complex inquiries. Logistics: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located onsite at 17 Technology Circle, Columbia, SC, 29203. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment.

Responsibilities

Functions as Team Leader/senior-level Enrollment Analyst.

Provides leadership/guidance/direction/training to staff.

Distributes work and is available to answer questions from staff.

Acts as a resource for staff regarding any escalating issues.

Keeps manager informed of any problems/issues that need resolving.

Conducts quality reviews of completed work.

Ensures that all audits are completed, verified, and closed.

Performs analysis of audits to determine areas for training, development, and education.

Ensures that quality work instructions/forms/documents are developed/revised as needed.

Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone).

Obtains information from internal departments, providers, government and/or private agencies, etc. to resolve discrepancies/problems.

Interprets various guidelines and provides input to required procedures.

Generates and analyzes various provider reports to management.

Participates in testing system changes related to provider files.

Contributes/participates/completes special projects as assigned.

To Qualify for This Position, You'll Need the Following:

Required Education: Bachelor's degree equivalency: 4 years job-related work experience or associate's and 2 years job related work experience.

Required Work Experience: 2 years of provider network enrollment/certification experience.

Required Software and Tools: Microsoft Office.

Our Comprehensive Benefits Package Includes the Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

Subsidized health plans, dental and vision coverage

401k retirement savings plan with company match

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers in major locations

Education Assistance

Service Recognition

National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

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 our recruiter to verify resume specifics and salary requirements.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national

Sr Provider Enrollment Analyst

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