[Hiring] Provider Enrollment Analyst/Credentialing @WPS—A health solutions company

Role Description

The Provider Enrollment Analyst will approve, deny, or return applications submitted by Medicare providers. This work is important in helping providers enroll in the Medicare program.

In this role you will:

• Utilize on-line Medicare files/systems to verify research, update, and document enrollment information.
• Respond to provider/customer enrollment telephone and written inquiries.
• Ensure all provider enrollment data is properly controlled and tracked to ensure applications are approved or denied within standards of timeliness established by department and Centers for Medicare and Medicaid Services (CMS).
• Enter data into on-line national database and internal provider files (PECOS).
• Research and verify proper fees and inspections have been completed on certain suppliers.

How do I know this opportunity is right for me? If you:

• Possess confidence in your skills navigating a computer to process applications efficiently through multiple operating systems.
• Prioritize effectively, stay on task, and work independently.
• Are comfortable critically examining, analyzing and reviewing work items in detail for accuracy.
• Possess strong communication skills, both verbal and written.
• Enjoy research and problem-solving.

What will I gain from this role?

• Helping our providers enroll in Medicare to support the senior community.
• Having the opportunity to earn more by being a top performer.
• Enjoying flexible work hours.
• Opportunity to work remotely in the comfort of your home – no driving time, gas costs, or wear and tear on your vehicle.
• Experience working in an environment that serves our Nation’s military, veterans, Guard and Reserves and Medicare beneficiaries.
• Working in a continuous performance feedback environment.

Qualifications

• High school diploma or equivalent
• 1 or more years of business experience, including working in the insurance industry, claims processing, health care credentialing, billing or medical reimbursement.

Requirements

• Associate degree in business administration, insurance, healthcare, or related fields (preferred).
• 2 or more years of business experience, including working in the insurance industry, claims processing, health care credentialing, billing or medical reimbursement (preferred).
• Experience interpreting government regulations and applying to current processes (preferred).
• Course work in insurance, medical, customer service and/or financial (preferred).
• 1 or more years of computer and navigation experience; preferably working with dual monitors (preferred).
• Good work ethic and good attendance.
• Ability to communicate effectively over the phone.
• Experience working in a production-based environment.

Remote Work Requirements

• Wired (ethernet cable) internet connection from your router to your computer
• High speed cable or fiber internet
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at speedtest.net )

Benefits

• Bargaining Unit position
• Remote and hybrid work options available
• Performance bonus and/or merit increase opportunities
• 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
• Competitive paid time off
• Health insurance, dental insurance, and telehealth services start DAY 1
• Employee Resource Groups
• Professional and Leadership Development Programs