Provider Enrollment Analyst (CMS 855 required)

Responsibilities

• You will support the full lifecycle of medical provider enrollment, helping ensure accurate provider data and regulatory compliance. Duties include:
• 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
• Growth and Development
• In this role, you will gain exposure to:
• Medicare program regulations, health plan operations, and enrollment systems.
• Cross-functional collaboration with compliance, IT, and provider support teams.
• System testing and process improvement initiatives-opportunities to grow your skills in operational analysis and project participation.
• Required Qualifications:
• Work Experience:
• At least one (1) year of experience processing CMS 855 applications/managing the enrollment process utilizing the the Medicare enrollment online system PECOS.
• Previous Provider Enrollment for Medicare is required to be considered for the role.
• Education:
• Highschool Diploma or equivalent
• Associates or Bachelors degree preferred
• Skills and Abilities:
• 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
• Software and Tools:
• Microsoft Office
• Pre-Hire Requirements
• Completion of an eQIP background investigation
• Successful credit check

Benefits

Additional Information

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. Broadway Ventures is seeking experienced and detail-oriented Provider Enrollment Analysts to support the enrollment process by reviewing, researching, analyzing, and processing provider applications. This role ensures provider file accuracy and compliance with established standards and guidelines. Worksite & Schedule This is a full-time (40-hours/week) position, Monday-Friday. Work hours: 8:00AM-5:00PM Eastern Standard Time (EST) Location: Remote If you live within 50 miles of Columbia, SC you will be required to work onsite 5 days a week at - 17 Technology Circle, Columbia, SC, 29203

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