Senior Provider Enrollment Analyst @033 Palmetto GBA

[Hiring] Senior Provider Enrollment Analyst @033 Palmetto GBA

Apr 02, 2025 - 033 Palmetto GBA is hiring a remote Senior Provider Enrollment Analyst. 💸 Salary: unspecified. 📍Location: USA.

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Role Description

As a Sr. Provider Enrollment Analyst, you will act as a team lead by providing guidance/direction/training to provider enrollment analysts and/or other provider enrollment area staff. You will also be responsible for the processing of difficult enrollment applications and/or complex inquiries.

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.

Qualifications

Bachelor's degree equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
2 years of provider network enrollment/certification experience.

Requirements

Working knowledge of word processing, spreadsheet, and database software.
Working knowledge of provider certification process and claims processing operations/systems.
Good judgment skills required.
Effective customer service, organizational, and presentation skills required.
Demonstrated verbal and written communication skills.
Demonstrated proficiency in spelling, punctuation, and grammar skills.
Basic business math proficiency required.
Analytical or critical thinking skills required.
Ability to handle confidential or sensitive information with discretion.
In-depth knowledge of pricing methodology and discount programs.
In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues.
Microsoft Office.

Benefits

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.

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📍	Be aware of the location restriction for this remote position: USA
‼	Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.

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Senior Provider Enrollment Analyst @033 Palmetto GBA

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Salary 💸 unspecified	Remote Location USA
Job Type full-time	Posted Apr 02, 2025

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📍	Be aware of the location restriction for this remote position: USA
‼	Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.

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[Hiring] Senior Provider Enrollment Analyst @033 Palmetto GBA

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